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GE Healthcare CARESCAPE Monitor B650 Technical Manual

1. Y Indicator 5 P LEDs o User Interface Board 3 c Q o o E E ON STBY E ED E ON STBY BNE MEC LEDs Keyboard Matrix X lines 4 E I A gt gt 2 gt 1 0 ARR 8 Keyboard amp G BAT LED PT PWM3 HD LED Keyboard O CHG LED PT drive _ gt backlight G POW LED PT ATMEL AT91SAM7S ae Eee ee LQFP64 ON STBY_BUTTON_PT POWER_FAILURE_AUDIO_ALARM i en Clock input ME E c 16MHz npu S 2 3 3V SC ERA en o nd 5 E 5V JTAG RST Reset 8 8 c ETs RT gt OT o E 9 333V MAX823 TS RST IRQO t Trimknob direction signal A t TKNOB A t E N A E Cee 0 8 35V IRQ1 Trimknob direction signal B t Be TKNOB B R g OES at e z 33V HUB_RST yo Trimknob pushbutton t TKNOB PB xg rm x MAX823 3v PWM1 POWER_FAILURE_VISUAL_ALARM 2 o ALARM_PWM SILENCE_ALARMS USB full speed USB full speed USB port PWMO AND h USB HUB 2 1 0 SILENCE_ALARM_EN port YELLOW_ALARM T TI TUSB2036 8 XTAL LQFP32 HUB RST 3 3V_SC RED_ALARM m3 NIE HUB RST ze aT EGG CYAN ALARM E 8 mjg x ale 1 0 ALARMEN Mux 3 3V_SC Ed 5 mle MAX4634 z 8 2 1 0 ALARM_EN2 5V S sec 2 8 Touch Screen signals 5 TERM TS amp RST 3 3 SC LIGHT SENSOR AD se TouchScreen X E Controller S XTAL electronics El 6MHz JTAG 5 3 3V 1 5V 2s 28 S LIGHT SENSOR AD ADC SERIAL 2 wire debug serial port S 2 2 e
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3. r r jr DVI I connector Type B USB port Type A USB ports A Cable length is less than 5 meters 1 Connect one end of the DVI D to DVI D video cable to the DVI I connector on the bottom of the display and the other end to the DVI I connector on the back of the patient monitor 2 Connect the Type A plug of the standard USB cable to one of the downstream ports Type A USB port on the back of the patient monitor Document no M1165897A Hardware installation 3 Connect the Type B plug of the standard USB cable to the upstream port Type B USB port on the bottom of the display NOTE A USB hub should not be used to connect the USB touchscreen to the patient monitor B Cable length is 5 to 15 meters If complete isolation is not required this method will provide the most cost effective means of extending your USB installation This type of installation should not be used for connections to non medically used rooms according to IEC 60601 1 1 Displays may be extended up to 15 meters from the patient monitor using the following cables 15 meter DVI I to DVI I video cable p n 2042766 001 5 meter USB extender p n 2042768 001 Standard USB A to USB B cable up to 5 meters Type A receptacle USB extender Type A plug In the following example two 5 meter USB extenders plus a standard 5 meter USB cable extend the remote display up to 15 meters from the patient monito
4. 2 Remove the T10 screw Torque 0 6 Nm 5 Release the snap behind the flex cable Lift the flap with a flat blade screwdriver 4 Pull the Module frame Assembly to detach it from the Module Frame wall NOTE When reassembling check that the connector is intact Reassemble in reverse order 155 Document no M1165897A CARESCAPE Monitor B650 9 3 Main unit disassembly 9 3 1 Replacing the mains fuses The mains fuses are situated on the back of the monitor below the mains connector 1 Lever the screwdriver against the cable holder to release the fuse holder and pull it out of the frame 2 Pull the fuses out of the fuse holder and insert new ones Push the fuse holder all the way in until it snaps to its place 156 Document no M1165897A Disassembly and reassembly 9 3 2 Detaching the Interface Board 1 Detach the Interface Board cover plate from the frame by releasing the snaps with a flat blade screwdriver 2 Remove the six T10 screws holding the Interface Board to the main unit Torque 0 8 Nm NOTE At first reassemble the screws in the middle 3 Pull the Interface Board out of the main unit with pliers NOTE Pull with the pliers from the plate on the interface board panel Reassemble in reverse order 157 Document no M1165897A CARESCAPE Monitor B650 9 3 3 Detaching the Frame Side Housing Decorations Beppe rf METITE a me 1 158 Doc
5. 3 3 9 Connecting USB input devices NOTE Refer to section 3 5 5 Connecting a secondary display for more information about using USB extenders and about connecting a USB input device to a USB port in a secondary display Alphanumeric keyboard Connect the USB keyboard to one of the USB ports in the rear panel of the monitor or at the bottom of the secondary display NOTE Refer to section 4 3 9 Language for keyboard locale configuration Mouse e Connect the USB mouse to one of the USB ports in the rear panel of the patient monitor or at the bottom of the secondary display Remote control e Connect the remote control to one of the USB ports in the rear panel of the patient monitor or at the bottom of the secondary display Barcode reader e Connect the barcode reader to one of the USB connectors in the rear panel of the patient monitor or at the bottom of the secondary display NOTE Always use a GE supplied barcode reader for the CARESCAPE monitors The barcode reader comes pre configured and is ready to connect Refer to the included installation instructions for more details NOTE Refer to section 4 3 7 Admit settings for the barcode parser configuration and to section 4 3 9 Language for keyboard locale configuration 3 3 10 Connecting a remote on cable Remote on connection allows you to power up the patient monitor from the power switch of a GE Healthcare anesthesia machine 1 Connect the re
6. 4 Configure the safety analyzer as follows SFC Polarity NORMAL Neutral OPEN 5 Read and record the current leakage indicated on the safety tester 6 Configure the safety analyzer as follows SFC Polarity REVERSED Neutral OPEN 7 Read and record the current leakage indicated on the safety tester 8 Configure the safety analyzer as follows NC Polarity REVERSED Neutral CLOSED 80 Document no M1165897A Installation checkout 9 Read and record the current leakage indicated on the safety tester 10 Power off the device under test Acceptance criteria in Normal Condition NC e All readings shall be less than or equal to 300 uA for installations that require compliance to UL 60601 1 requirements e All readings shall be less than or equal to 500 uA for installations that require compliance to EN 60601 1 IEC 60601 1 requirements Acceptance criteria in Single Fault Condition SFC one of the supply conductors open at a time e All readings shall be less than or equal to 1 mA 5 2 6 Enclosure leakage current touch current test This test measures current leakage through the exposed conductive parts on the device under test Perform the test in Normal Condition NC and in two different Single Fault Conditions SFC 1 earth open and 2 one of the supply conductors open at a time Perform the test with normal and reverse polarity NOTE Refer to the instructions
7. EE A amp E Li A i E T The MC Network establishes communication and allows patient data to be sent to an optional CIC Pro Clinical Information Center central station The S 5 Network establishes communication and allows patient data to be sent to an iCentral central station 2 2 5 CARESCAPE Network IX The CARESCAPE Monitor B650 may be connected to the CARESCAPE Network IX The IX Network provides you access for example to the MUSE server for MUSE 12SL reports and to the IX printers It also enables centralized Webmin access for service personnel from within the hospital and the InSite with ExC remote service connectivity to GE s support center Refer to the CARESCAPE Network Configuration Guide for details on configuring the CARESCAPE Network 22 Document no M1165897A System overview 2 2 6 Unity Network ID connectivity device The Unity Network ID connectivity device acquires digital data from up to eight peripheral bedside devices not necessarily manufactured by GE processes this data and transmits the formatted data to the CARESCAPE Monitor B650 The supported interfaces include anesthesia machines ventilators gas analyzers continuous cardiac output devices pulse oximeters transcutaneous monitors and point of care blood gas monitors Refer to the Unity Network Interface Device ID Operator s Manual and the CARESCAPE Monitor B650 User s Manual for a list of compatible per
8. Location ID Identifies the location ID number within the range 0 to 599 associated with the monitor for searching the MUSE system Site Number Identifies the site number within the range 1 to 254 associated with the monitor for searching the MUSE system 4 Select Save The 12SL settings take effect immediately after they are submitted Settings to view 12SL data 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 On the Configuration tab select MUSE 12SL 3 Onthe MUSE 12SL window enter the following MUSE Web Username Username used to authenticate with the MUSE Web to access 12 lead reports MUSE Web Password Password used to authenticate with the MUSE Web to access 12 lead reports Confirm Password MUSE Web URL Used to locate the MUSE Web system to access 12 lead reports Enter the URL in a valid format 4 Select Save The MUSE settings take effect immediately after they are submitted 4 5 7 Admit settings Patient ID prefix The patient monitor will automatically generate a temporary unique patient ID when a patient with unknown ID is admitted to the monitor The monitor will use this temporary patient ID for all 12SL reports that are sent to MUSE until the patient is discharged from the monitor or his her patient ID is changed The temporary patient ID is generated from the temporary patient ID prefix care unit name bed nam
9. USB Port Information Product name Manufacturer Vendor code Product ID and Serial number 8 3 Webmin Diagnostics tab Access Webmin service interface to view hardware statistics ping a network device view WLAN diagnostics and view or download log files Hardware Statistics Tue Jan 18 21 06 51 2000 The lower and upper limits for the hardware measurements are displayed Measurements are displayed in red when they are out of range Hardware Statistics Measurement Current Reading Upper Limit 1 12Vsync CPU Voltage in mv 12Vsync CPU Voltage in mv CIDC voltage in mv SYS voltage in mV 15 MOD voltage in mV 12V voltage in mV 5V voltage in mv 3 3V voltage in mv 5 REC voltage in mV 12V REC voltage in mv mut K3 pu T a ce ce o a e e e 4000 8800 4600 4600 v fc 8800 8800 o e e 7000 SYS ePort voltage in mV SYS RACK voltage in mv SYS EMOD voltage in mv SYS OPTION voltage in mv System power in mv odule power in m CPU temperature in C DC DC temperature in C MOD temperature in C OPTION temperature in C 7000 7000 10000 m lt s ES RA Ral E EA tn tn eo z 2 2 12 3 olojo DiTD D m ecc n olojo ojojo a a a sss E ale le j 3 SISS Soe 5 3l3 3 8 3 1 Hardware statistics 118 The Hardware Statistics module displays several internal voltages temperatures and power consumption A
10. for each network MN n connector Standard Interface Board The Standard Interface Board has 2 indicator LEDs for the MC connector e The Link LED is lit when the patient monitor is physically connected to a network e The Activity LED is lit when the patient monitor is either transmitting or receiving data packets over the network Advanced Interface Board The Advanced Interface Board has one dual purpose indicator LED for each network connector e The LED is lit to indicate a Link i e the patient monitor is physically connected to a network e The LED is flashing to indicate Activity i e the patient monitor is either transmitting or receiving data packets over the network NOTE Also refer to section 8 4 1 Power management LEDs to see information about the network and WLAN symbols displayed in the user interface 126 Document no M1165897A Troubleshooting 8 4 3 Battery diagnostics You can view detailed information about the battery status of the patient monitor from the Battery Status menu 1 Select Monitor Setup gt Battery Status 2 Select Monitor tab 3 For more detailed information select Advanced Battery Data Slot status No battery Battery is not connected to the monitor No communication Battery is connected to the monitor but battery communication failure error condition is on Battery error condition is on Discharging Monitor is operating on batte
11. 11 Document no M1165897A CARESCAPE Monitor B650 European Union Declaration of Conformity FCC USA only Complies with applicable US government Federal Communications Commission radio frequency interference regulations Prescriptive Device USA only For sale by or on the order of a Physician Russia only GOST R mark Certification in Canada by the Canadian Standards Association CAN CSA C22 2 No 601 1 1990 Canada only Industry Canada certification number indicates that this product meets the applicable Industry Canada technical specifications China only China Ministry of Industry and Information Technology identification number for Radio Transmission Equipment Type Approval Australia only The product complies with the applicable Australian standard and establishes a traceable link between the equipment and the manufacturer importer or their agent responsible for compliance Japan only Approved under Japan TELEC requirements 12 Document no M1165897A Introduction NOTE The following symbols required by China law only are representative of what you may see on your equipment The number in the symbol indicates the EFUP period in years as explained below Check the symbol on your equipment for its EFUP period This symbol indicates the product contains hazardous materials in excess of the limits established by the Chinese standard SJ T11363 2006 Requirements for Concentration Limits for Certain
12. 2 Select 0 to close any open menu and return to the main display 5 3 3 Device Information 1 Login to Webmin see section 4 2 5 Login to Webmin and select the Information tab 2 Onthe Information tab select Device Information 3 Verify the following The connected parameter modules are identified The connected CARESCAPE Network ID interfaces are identified The connected USB input devices are identified 4 Stay connected to Webmin 5 3 4 Configuration Information 1 Onthe Information tab select Configuration Information 2 Verify the following The host Information is correct The active software package is correct The correct host licenses are enabled The correct PDM licenses are enabled Patient ID prefix is correctly configured Unit and Bed name are correctly configured S 5 printers are correctly configured X printers and printer locations are correctly configured J Remote service is correctly configured J National requirements are correctly configured Network is correctly configured Power Line Frequency is correctly configured MUSE 12SL is correctly configured WLAN is correctly configured 3 Log out of Webmin 88 Document no M1165897A Installation checkout 5 3 5 Keypad and remote Perform this test both for the integrated keypad and for the optional remote keypad 1 3 5 3 6 Mouse Pre
13. A recorder may print text waveforms and numeric trends The patient monitor supports printing e toanintegrated local recorder optional e toa PRN 50M recorder connected to another patient monitor or to a CIC Pro Clinical Information Center on the MC Network 2 2 9 Service Interface 24 Webmin is a browser based interface that provides service and diagnostic functions for the patient monitor Using a web browser the user can connect to Webmin to configure diagnose and retrieve system information The user can access Webmin either locally on the patient monitor or remotely over the IX Network Document no M1165897A System overview Local Webmin Remote Webmin Patient monitor Biomed workstation Po CARESCAPE Network D GE Healthcare Local access to Webmin The user can access Webmin locally using the integrated browser on the patient monitor The other way to access Webmin locally is from a configured service PC that is connected to the patient monitor with an Ethernet crossover cable Remote access to Webmin The user also can access Webmin remotely using a configured service PC over the IX Network InSite with ExC InSite with ExC provides a set of software applications to manage diagnose and track systems at customer sites by using the Internet for secure communications between the customers and GE s firewalls InSite with ExC consists of Enterprise Server which resides at
14. overview 5 2 8 Patient source leakage current tests 5 2 9 Patient sink leakage current testS 5 2 10 Test completion unt aati tacendum Ue e LEE d Lor FilbiC HOD TIS Katruaa emotiva ut mca da o dett boue Sow SU tad dad cd Deoa rss oe DPO earen bee ce aeaeteatostoses ubt ati od 5 5 9 Device JnTormialioliso en peiorem bres oe ire dans 5 3 4 Configuration Information s cereus mra ete ees 5 55 KV POG ana motas peint its edt oat ects 9 95 5 JMOUSS art chsh ases deut una euis uide tette p 5 3 7 Alphanumeric keyboard c iita tine ituri a rie 5 010 BOICOT AE ebrios 5 3 9 MC Network and S 5 Network oooooocccccccc A A TT A SES eret o oer brace ed oratunta Ced ed Noob t 53 12 Insite with EXC suitcase tcr quete dac dette e No o uunc scs uetus tea ATE AAE Theory of operation 6 1 MOMCONMDON ENS perras fas Let tata de 6 1 1 Power management subsystem oooccoccccoo OL 3CPISUDSUSLOITIOEA A ameta iuba tat esqe cubano etes 6 1 3 Display SUDSUSLOITI S ax db aid Eoo onde ei baud eis 6 1 4 User interface subsystem 0 cece eee o 1 5 Etema erd ECS crue Ls e cite bostes ie NE 6 1 6 Pivoting module frame duos od vtro p Etpe dad hes Maintenance and checkout 7 1 fal pe VISBGIHEISDOS BIOL Iss ads store bit beo detto ette dre boda des Electric dL as a d tien ature Date Dex e tue Editus ad o AMNIS EE TE A A a E EA AETA E AA fe MIS rre r EE Table of
15. 4 Is there a firewall or Access Control List between the hospital infrastructure and the CARESCAPE Network Please verify configuration settings using the Wireless LAN Network Configuration Guide and consulting the hospital s IT department Check IP addresses on the patient monitor Are the patient monitor and the CIC Pro center on the same network no Configuration issue Correct IP addressing issues 142 Document no M1165897A No traffic is getting through to this patient monitor 1 Are you in the coverage area 2 Does it work under another AP 3 Does it work when hard wired Contact the hospital IT department for configuration settings in the wireless infrastructure yes Y Correct passphrase remember passphrase does not equal passkey Y Correct key index 4 Are you in the coverage area 5 Does it work under another AP 6 Do other patient monitors work Please verify configuration settings with the hospital s IT department Broadcasts are not making it through Network configuration problem 1 Is the network set up to allow broadcasts Please verify configuration settings using the Wireless LAN Network Configuration Guide and consulting the hospital s IT department yes Broadcast traffic is not making it through Network configuration problem 1 Is t
16. 4 5 14 Remote service 70 This Webmin module allows the user to configure and control the Insite with Exc remote service tool Configuration 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Remote Service 3 Inthe Sub Modules for Remote Service menu select Configuration Document no M1165897A Configuration 4 In the Remote Service Configuration window enter the applicable data HTTP Proxy Server Configuration Address If this site uses an HTTP proxy server a These values are specific site proxy server IP Address and determined by the Port Port number are required for the customer Username and Remote Service communication to Password work Otherwise select None If the HTTP proxy server requires user authorization a specific Username and Password is required Otherwise select None Remote Service SystemlD ID identifies the system to the GE back office the system to the GE back office These values are read only Servers and are unique Serial Number Identifies the unit and is set at the time of manufacture Enterprise URL If required designate the address of the GE This address should never backoffice servers required to be changed unless explicit communicate with the Remote Service instructions are given to do Agent SO Enterprise Tunnel If required designate the addr
17. CLOSED Read and record the current leakage indicated on the safety tester Power off the device under test Acceptance criteria in Normal Condition NC Acceptance criteria in Single Fault Condition SFC earth open or one of the supply conductors All readings shall be less than or equal to 100 uA open at a time 82 Document no M1165897A Installation checkout e All readings shall be less than or equal to 300 uA for installations that require compliance to UL 60601 1 requirements e All readings shall be less than or equal to 500 uA for installations that require compliance to EN 60601 1 IEC 60601 1 requirements 5 2 7 Patient leakage current tests overview The following table specifies the parameter modules and the related patient connectors to be tested in the 5 2 8 Patient source leakage current tests and in the 5 2 9 Patient sink leakage current tests Use the safety test body kit P N M1155870 lor equivalent to perform patient leakage current tests This safety test body kit contains various patient connectors where all pins are shorted out together For information on which test body to use for each patient connector refer to the service instructions included in the safety test body kit NOTE If not otherwise stated in the table below each test body is connected directly to the specified connector in the patient module Table 1 Patient connectors to be tested with each module E PRESTN E
18. Configuration The network configurations will be saved and become active when the system is restarted B S 5 Network NOTE When S 5 is selected the CARESCAPE Network is disabled The monitor may be configured to the S 5 Network or IX Network or both Network connection s Steps to be performed IX Network only 2 5 and 4 Both S 5 and IX Network 1 2 3 and 4 1 In the Network Configuration window screen 2 under S 5 Network enter a Virtual ID NOTE Valid values are within the range of 50000 to 55000 inclusive NOTE The Virtual ID must be unique for each patient monitor connected to the S 5 Network Under IX Network select DHCP or Manual Configuration Enter a Static IP address Enter a valid Netmask level Enter a valid Default Gateway Enter valid DNS Server addresses if applicable oO 00020 nm 3 Select the applicable Speed amp Duplex option 4 Select Save The S 5 virtual ID change will be applied immediately All other network configurations will be saved and become active after the monitor is restarted 4 3 2 WLAN This Webmin module allows the user to configure the WLAN client settings for the MC Network or S 5 Network NOTE The network selection MC Network or S 5 Network and related configuration shall be done prior to configuring the WLAN settings even if the monitor will not be connected to the wired MC or S 5 Network See section 4 3 1 Network WLAN configuration 1 Ifyou have not alr
19. NOTE The Patient Data Module PDM is described in promotional materials as the CARESCAPE Patient Data Module NOTE A portion of the Entropy software is derived from the RSA Data Security Inc MD5 Message Dlgest Algorithm Master table of contents Master table of contents Notes to the reader This technical manual is presented in two parts Part I System installation provides an overview of the patient monitoring system and contains information needed to initially install configure and check out the patient monitor and the connected devices Make sure you understand the procedures before installing the patient monitor Observe all safety hazard statements Part Il Repair and maintenance contains information for performing planned and corrective maintenance to the patient monitor It covers theory of operation maintenance and checkout troubleshooting disassembly and service parts NOTE Information for planned and corrective maintenance of the acquisition modules is covered in the Module Frames and Modules Technical Manual System installation n FP OY N HB Introduction 1 System overview 17 Hardware installation 27 Configuration 43 Installation checkout 77 Repair and maintenance 6 Theory of operation 93 7 Maintenance and checkout 105 8 Troubleshooting 115 9 Disassembly and reassembly 145 10 Service parts 177 i Document no M1165897A CARESCAPE Monitor B650 Appendices Appendix A ElectroMa
20. Perform the checkout procedure described in chapter 7 Maintenance and checkout each time after you have opened the module casing 10 1 Ordering parts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand 10 2 List of FRUs FRU Item Part FRU Item Description Additional text Number M1133991 FRU Recorder Unit B650 Includes GSI thermal printer recorder interface board aluminum EMC shield and 4 mounting SCrews 2 M1133992 FRU E Module Interface Board B650 Includes E module interface board with 6 mounting screws 3 M1133993 FRU PDM Docking Mechanism B650 Complete PDM docking mechanism 4 M1133994 FRU Module Frame Cover Unit Set B650 Includes 4 different module frame front covers module frame cover unit and module frame back plate with its mounting screw 5 M1133995 FRU Module Frame Assembly B650 Includes module frame assembly with module frame flex board and grounding plate A gSEscRx2kkbstidiisd 6 M1168210 FRU Standard Interface Board B650 Includes standard interface board 2 USB 1 RJ 45 amp 1 DVI I related cover plate with labelling and 6 mounting screws 7 M1168215 FRU Advanced Interface Board B650 Includes advanced interface board 4 USB 4 RJ 45 DVI I ePort amp Remote On related cover plate with labelling and 6 mounting screws 8 M1168219 FRU AC DC Power Supply Unit B6
21. Shanghai P R China 201203 Tel 86 215257 4650 Fax 86 21 5208 2008 www gehealthcare com
22. but nothing appears to the screen No error messages The display controller defective uDOM is missing or loose uDOM software is corrupted uDOM has The monitor starts but the start up sequence does not advance beyond the GE logo screen Error messages may appear to the screen section of the CPU board is incompatible software There is a boot code error see section 9 4 3 Replace the LCD display unit if in doubt that the backlight cables or CCFL lamps are defective see CCFL lamps are defective section 9 4 2 The display cable is Check that the display cable is intact and properly damaged or loose connected to the LCD display and the CPU board The LCD display is Replace the LCD display unit see section 9 4 2 defective Replace the CPU board see section 9 5 9 Reconnect the uDOM Call technical support for service The uDOM may require replacement 1 Call technical support for service 2 Ifthe problem persists replace the entire CPU board see section 9 3 9 153 Document no M1165897A CARESCAPE Monitor B650 8 6 2 User interface issues Touchscreen Problem Possible cause Recommended actions Touchscreen operation Touchscreen not calibrated Calibrate touchscreen see section 4 1 1 inaccurate Touchscreen inoperative Touchscreen cable loose Connect touchscreen cable to the user interface board see section 9 4 4 Touchscreen sens
23. safety analyzer Document no M1165897A Installation checkout Power Cord Acceptance criteria For equipment without a power supply cord the impedance between the protective earth terminal and any accessible metal part which is protectively earthed shall not exceed 0 1 ohms For equipment with a power supply cord the impedance between the protective earth pin in the mains plug and any accessible metal part which is protectively earthed shall not exceed 0 2 ohms b Impedance of protective earth connection This test unlike a ground continuity test will also stress the ground system by using special ground bond testers This test is normally only required as a manufacturing production test to receive safety agency compliance Some country agencies do require this test after field equipment repairs i e Germany s DIN VDE 0751 standards Consult your country local safety agency if in doubt Check compliance as follows A current of 25A from a current source with a frequency of 50 or 60 Hz with a no load voltage not exceeding 6 V is passed for at least 5 seconds but not more than 10 seconds through the protective earth terminal or the protective earth pin in the mains plug and each accessible metal part which could become live in case of failure in basic insulation The voltage drop between the parts described is measured and the impedance determined from the current and voltage drop It shall not exceed the values indica
24. t register to the Monitor Network all bedside monitors affected Bedside monitor doesn t register to the Monitor Network only one patient monitor or some of the bedside monitors affected The problem is related to the Proceed to the iCentral iCentral or to the cabling troubleshooting between the iCentral and the Check the cabling between hub switch the iCentral and the hub switch The problem is related to the Check the patient monitor s bedside monitor or to the network configuration see cabling between the bedside section 4 3 1 monitor and the hub switch Check the cabling between the bedside monitors and the hub The problem is related to Check the Central network network setup the bedside setup monitor s is are missing from the network setup The problem is related to view Check the iCentral view setup setup the bedside monitor s is are missing from the view setup 143 Document no M1165897A CARESCAPE Monitor B650 Wireless S 5 network Problem Possible cause Recommended action No wireless connection the Patient monitor is out of wireless Contact the hospital IT patient monitor does not coverage area department to check the associate authenticate with the wireless coverage area Access Point see section WLAN radio is disabled e Enable WLAN radio see Daa section 4 3 2 Incompatible wireless network e Check that the patient monitor infrastructure is inst
25. 1 Save settings 3 Load the saved platform and or clinical configuration settings from an external device to the destination patient monitors section 4 4 2 Load settings 4 Activate the loaded platform and or clinical configuration settings in the destination patient monitors section 4 4 5 Activate settings 5 Some platform settings can t be transferred from one patient monitor to another See section 4 4 5 Activate settings for details Configure these unaffected settings manually in the destination monitor following the instructions in sections 4 5 1 Network 4 3 4 UU u Unit and bed name 4 3 12 Host asset settings and 4 5 License management Creating a backup copy of the platform and or clinical settings You can save a backup copy of the completed platform and or clinical settings to an external device section 4 4 1 Save settings Restoring platform and or clinical settings from an external device You can restore the backup copy of the saved platform and or clinical settings back to the monitor sections 4 4 2 Load settings and 4 4 5 Activate settings NOTE This activity is typically needed only if all settings are lost e g after replacing uDOM Affected settings The following platform and or clinical settings are affected Type of setting Configuration information that can be saved or loaded Platform settings Admit settings Host asset numbers Language MUSE 12SL National requ
26. 1 Visual inspection 5 2 Electrical safety tests 5 3 Functional check NOTE Refer to chapter 7 Maintenance and checkout to see the recommended checkout procedure after corrective and planned maintenance 5 1 Visual inspection Perform the following visual inspection to the installed monitoring system e Carefully inspect the patient monitor and the connected peripheral devices for any damage e Verify that the patient monitor and the connected peripheral devices are properly mounted with specified mounting solutions e Verify that the cables between the patient monitor and the connected peripheral devices are intact and properly connected to the right connectors e Verify that the modules are properly connected and locked e Verify that the pivoting module frame and battery door are properly locked The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the User s Manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package 5 2 Electrical safety tests Electrical safety tests provide a method of determining if potential electrical health hazards to the patient or operator of the device exist 5 2 1 Testsetup Test conditions Perform electrical safety tests under normal ambient conditions of temperature humidity and pressure Test equipment The test equi
27. 1 7 2 Equipment identification aeneae eedem tire tope ge ordeno asada 16 A a LI cae eee IL MM ALI IL UM NEAR 16 System overview 17 2 SS CMI OCC IO Mecias nouo Soter utente Sete es cant EEN RES cote ere Oates 17 2 ONN COMPONEN S O AAA E ae OA 17 OM KOA O RR a A E E E E E Iy AN A e cM RN RORIS UELUT T 18 a E Sn Stats Red nace c asd II Wiel come a asa M ee MM se LE 19 2 2 4 CARESCAPE Network MC or S 5 Network zs sche e o a eos EU ER ERR PEE en 22 2 2 5 CARESCAPE Network IX sse Ir 22 2 2 6 Unity Network ID connectivity device 2 ccc e 23 ATE E ASP AA TE E E E E E EE E cae atte E E 23 aero Pinters and tecorde esisin a a a a a a EA r aa 24 a CENCE NEN E tedden nnd R A a A EL E T eas saunas 24 Hardware installation 27 Sq Prentar egte MEMS seetri enee bi ET A 27 scd COMPAD ODIO redes etam eE oes ME e aa 27 l Document no M1165897A CARESCAPE Monitor B650 SD NEtWOrK KGS EDUIG DUI OU S eterne totes Susie Ra vtero bandas beca asus 27 AA UMC ON ON Ole RE ET hen bone D ETE DES 28 3 1 4 Unity Network ID connectivity device installati0N oooooooooomoo 29 3 1 5 Power and environmental requirements 2255 eror espe na 29 Se S 9nbrelsscpg obe CLOS suis rn dani rape 30 Sy WON VIC A ee r S r a o E ear el ener ied lace 4 ees 50 OPE OO VICWS Pn 31 9 2 9 A 32 I POWIE AS MIO O ts atadas 33 5 3 1 Installing a battery into the patient monitor and the PDM module 53 3 3 2 Mounting the patient INONINO eat
28. Board that provides the ePort connector PHYSICAL INJURY Do not install the PDM above a patient Make sure the battery is completely inserted and the battery door is completely closed Falling batteries could seriously or fatally injure neonatal or other vulnerable patients PHYSICAL INJURY Do not install the PDM above a patient Leaks from the battery cells can occur under extreme conditions The liquid is caustic to the eyes and skin If the liquid comes in contact with eyes or skin flush with clean water and seek medical attention Installing E modules to the frame 1 Connect a module by aligning it with the insertion guide inside the module frame 2 Pushthe module into the frame until it locks 39 Document no M1165897A CARESCAPE Monitor B650 3 3 6 Connecting to the MC Network or the S 5 Network WARNING Missed Alarms Do not use with iCentral software with Versions 5 0 2 and earlier or with Mobile Care Server with Version 5 2 and earlier WARNING INCORRECT CALCULATIONS Using the CARESCAPE Monitor B650 with the Aware Gateway software version 1 4 or earlier could result in incorrect patient height and weight information This could lead to incorrect drug dose calculations hemodynamic calculations or oxygenation calculations Prior to installing the CARESCAPE Monitor B650 please contact the GE Healthcare Aware Gateway HL7 Integration Engineering Team or your GE Healthcare service representative to verify or update
29. Bytes transmitted Receiving errors Transmission errors The following information on maximum 8 detected Access Points on the same network same SSID is displayed e Signal Level RSSI in terms of dBm e Operating channel number e MAC Address NOTE If the monitor has associated with an Access Point information on only the corresponding Access Point will be displayed Troubleshooting 8 3 4 Log files The patient monitor collects information about different system events and errors to log files These log files help troubleshooting problems in the patient monitor and the connected peripheral devices The following table describes the available log files and the type of information that they collect Webmin Action log Webmin user authentication and access related information e g who accessed Webmin and when Webmin module settings changes e g what was changed and when Software transfer history information including the type and version of the transferred software the origin and destination and the date and time the software transfer occurred Host software activation information including the host type and serial number the type and version of the activated host software and the date and time the host software activation occurred Module software activation information including the module type and serial number the type and version of the activated module software and the date and time the module softw
30. Contact GE for information before connecting any devices to the equipment that are not recommended in this manual Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards and or the system configuration must meet the requirements of the IEC 60601 1 1 medical electrical systems standard Refer to the CARESCAPE Modular Monitors Supplies and Accessories document for compatible parts and accessories 3 Document no M1165897A CARESCAPE Monitor B650 Periodically and whenever the integrity of the device is in doubt test all functions The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include use of the accessory in the patient vicinity and evidence that the safety certification of the accessory has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard If the installation of the equipment in the USA will use 240V rather than 120V the source must be a center tapped 240V single phase circuit 1 2 4 Safety message signal words Safety message signal words designate the severity of a potential hazard Danger Indicates a hazardous situation that if not avoided will result in death or serious injury No danger messages apply to this system Warning Indicates a
31. Display The patient monitor has an integrated 15 active matrix color TFT LCD panel that provides wide viewing angle and supports XGA 1024 768 pixels resolution The video controller is integrated into the CPU board and it provides LVDS output to the LCD panel via the display cable The display cable also supplies the 3 3 V supply voltage to the LCD panel CCFL backlights The LCD panel has two integrated long life CCFL backlight units that are used to illuminate the LCD display A separate backlight inverter board drives the CCFL backlight units Backlight inverter board The backlight inverter board contains transformers that convert the 12 V input voltage received from the DC DC board via the inverter cable to high frequency high voltage output required to ignite and operate the 2 CCFL lamps The output voltage is supplied to the 2 CCFL lamps with two dual wire backlight cables 6 1 4 User interface subsystem 98 User interface board The user interface board has a micro controller that manages the following main functions It reads the user input from the keypad matrix and Trim Knob encoder and passes the information to the CPU board e A separate touchscreen controller digitizes the user input received from the touchscreen sensor and passes the coordinate information directly to the CPU board It turns the alarm light LEDs on and off according to the information received from the CPU board It digitizes
32. Document no M1165897A Installation checkform APPENDIX B Installation checkform CARESCAPE Monitor B650 Customer Monitor S N Service S N Service engineer Software Module type S N Prior to testing verify all equipment is calibrated via Cal labeling and record Cal Due Dates Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS Test passed N A Test not applicable FAIL Test failed PASS N A FAIL BEEN PASS N A FAIL 5 1 Visual inspection Result Limits 5 2 Electrical safety tests 5 2 2 Power outlet BEEN 5 2 3 Power cord and plug MN 5 2 4 Ground earth integrity a Ground continuity test lt 0 1 ohms lt 0 2 ohms b Imp of prot earth conn lt 0 1 ohms lt 0 2 ohms 5 2 5 Earth leakage current test Normal Condition NC lt 500 yA lt 500 UA Single Fault Condition lt 1mA SFC 5 2 6 Enclosure leakage current Normal Condition NC lt 100 yA touch current test
33. Frame faces to the front 2 Release the two snaps on the top of the cover unit press strongly with your thumb on the middle of the Module Frame cover unit s front edge pull out the front cover a little with the other hand 5 Release the four snaps in the inner side of the E module slot by pressing them inwards with your finger Release first the topmost two snaps and then the lowest two snaps 4 Detach the cover unit 148 Document no M1165897A Disassembly and reassembly B Monitors without the E module option 1 Press down the Module Frame release knob and turn the Module Frame to a 90 angle so that the Module Frame faces to the front 2 Release the two snaps on the top of the cover unit press strongly with your thumb on the middle of the Module Frame cover unit s front edge pull out the front cover a little with the other hand 3 Press with finger from the top of the PDM docking rail 149 Document no M1165897A CARESCAPE Monitor B650 4 Shift the front cover slightly down and to the left by pulling the hole in the bottom plate to release the two snaps on left side and one on the right side of the front cover 5 Detach the cover unit 150 Document no M1165897A 9 2 2 Detaching the Recorder Unit TAI TUA Disassembly and reassembly 1 Detach the Module Frame front cover see section 9 2 1 2 Open the recorder cover and remove the paper roll if
34. GE s support center and Remote Service Agent that resides on a system at the customer site or on a PC controlling the system s at the customer site 25 Document no M1165897A CARESCAPE Monitor B650 For your notes 26 Document no M1165897A Hardware installation 5 Hardware installation This chapter specifies the pre installation requirements for the CARESCAPE Monitor B650 and describes the hardware installation process of all system components 3 1 Pre installation requirements 3 1 1 Compatibility check WARNING WARNING WARNING Verify compatibility of all system components prior to the installation of the patient monitor Refer to the CARESCAPE Monitor B650 Supplemental Information Manual for a list of compatible network and bedside devices Refer to the CARESCAPE Modular Monitors Supplies and Accessories document for a list of compatible supplies and accessories Refer to the CARESCAPE Monitor B650 Supplemental Information Manual Unity Network Interface Device ID Operator s Manual and the CARESCAPE Monitor B650 User s Manual chapter Interfacing with Peripheral Devices to see compatible peripheral devices BEFORE INSTALLATION Compatibility is critical to safe and effective use of this device Please contact your local sales or service representative prior to installation to verify equipment compatibility Before connecting an interfacing module to the device veri
35. Single Fault Condition lt 500 yA SFC lt 300 yA 5 2 7 Patient leakage current tests overview 5 2 8 Patient source leakage using a test body NC lt 10 yA current tests SFC 50 uA 5 2 9 Patient sink leakage current using a test body lt 50 uA tests 5 2 10 Test completion B 1 2 Document no M1165897A CARESCAPE Monitor B650 PASS N A FAIL PASS N A FAIL 5 3 Functional check 5 3 1 Start up 5 3 2 Display 5 3 3 Device Information 5 3 4 Configuration Information 5 3 5 Keypad and remote 5 3 6 Mouse 5 3 7 Alphanumeric keyboard 5 3 8 Barcode reader 5 3 9 MC Network and S 5 5 3 10 Wireless LAN Network 5 3 11 IX printers 5 3 12 Insite with EXC 5 3 13 Test completion Notes Used service parts Signature Date B 2 2 Document no M1165897A Maintenance checkform APPENDIX C Maintenance checkform CARESCAPE Monitor B650 Customer Monitor S N Service S N Service engineer Software Planned maintenance Corrective maintenance Module type S N Prior to testing verify all equip
36. acultotedsertede raa ia 33 3 3 3 Connecting a secondary display x datus eet actis a tutore E ba tute Ere ero ets 56 3 3 4 Connecting to the MAINS DOWOL 5o a bot nettes obe Eee E FENCE EE ES 38 3 3 5 Installing parameter Modules 0 0 eee cece nent teen ees 38 3 3 6 Connecting to the MC Network or the S 5 Network 000 sees 40 Sour Connecting tothe Pe NODWODNR an tik nti bb obo dator A 40 3 3 8 Connecting to a Unity Network ID connectivity deviCe o oooooooooooo o 40 5 5 9 Connecting USB input devices acude Dacus imprenta dtd ptt So uer Ss 41 5 5 10 oRlrecbiHioeremotesol CaDIB sss mco acarreo ross 41 3 3 11 Connecting a local printer to the IX connector zac irt bt ICE se Fre 42 Configuration 43 4 1 Display adjustment and touchscreen calibration suene cnm da eet 43 21 3 Integrated primary IS Versos rosal 43 4 1 2 Optional secondary CISDIGY 2 60 46 chattel adv tiae loas 43 Wee WACCCSS IOV COIN cristal LINDE SQ 44 4 2 1 Local access to Webmin using the integrated browser on the patient monitor 44 4 2 2 Local access to Webmin with a service PC connected to the IX connector 45 4 2 5 Local access to Webmin with a service PC connected to the MC connector 46 4 2 4 Remote access to Webmin using a service PC over the IX Network 48 AZ 5 OOM tO WEDIN sme ario ioateitecc O Pe ata a ue ure R EE 49 AS COMMOUFOMON IOC COULCS ss aat cena us ie oh ta quito te ib dU ad ee eles aeu 51 AA A aeaaeden t
37. and replace it simultaneously with the Front Unit Assembly 168 Document no M1165897A Disassembly and reassembly 9 4 2 Detaching the LCD Display Unit 1 Detach first the Front Unit Assembly see section 9 4 1 o3 2 Remove the four T10 screws two on both x sides of the LCD Display and detach the display from the frame Torque 0 6 Nm i j 3 Disconnect the display cable from the display 4 Disconnect the two backlight cables from the Backlight Inverter Board m T Backlight cables NOTE Do not leave any dust or dirt between the LCD Display and the plastic display cover or the picture quality might deteriorate NOTE The LCD Display Unit FRU includes the display cable Preferably use the original display cable if it seems to be visually undamaged In case you need to replace the display cable you need to additionally detach the rear unit assembly to get access to the CPU board and be able to connect the display cable to the CPU board Reassemble in reverse order NOTE Dispose of the display according to local state or country laws 169 Document no M1165897A CARESCAPE Monitor B650 9 4 3 Detaching the Backlight Inverter Board Detach first the Side Housing Decorations 9 3 3 the Top Cover 9 3 4 the WLAN Card 9 4 8 Front Unit Assembly 9 4 1 the LCD Display Unit 9 4 2 Detach the Inverter Cable from the Backlight Inv
38. any disassembly to the monitor 9 1 1 ESD precautions All external connectors of the patient monitor are designed with protection from ESD damage However if the patient monitor requires service exposed components and assemblies inside are susceptible to ESD damage This includes human hands non ESD protected work stations or improperly grounded test equipment The following guidelines may not guarantee 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors e A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semiconductors Use properly grounded test equipment Use a static free work surface while handling or working on assemblies containing semiconductors Do not remove semiconductors or assemblies containing semiconductors from antistatic containers until absolutely necessary Do not slide semiconductors or electrical electronic assemblies across any surface Do not touch semiconductor leads unless absolutely necessary e Semiconductors and electronic assemblies should be stored only in antistatic bags or boxes Handle all PCB assemblies by their edges Do not flex or twist a circuit board 9 1 2 Reassembly precautions Pay attention to the
39. capacity loss of the battery degrades significantly at higher temperatures A Asthe battery ages the full charge capacity of the battery degrades and is permanently lost As a result the amount of charge that is stored and available for use is reduced The following terms are used to define the battery capacity 111 Document no M1165897A CARESCAPE Monitor B650 Design capacity The theoretical capacity of the battery cells when the battery is new Full charge capacity The actual amount of charge the battery can store and deliver Remaining charge capacity The amount of full charge capacity currently remaining in the battery This is a percent of full charge capacity 7 4 1 Use recommendations GE recommends the following methods to improve battery performance Location Position the equipment in a location that does not artificially increase the operating temperature of the batteries Conditioning guideline Condition the battery when a Condition monitor battery message is shown on the monitor screen The condition cycle recalibrates the electronic fuel gauge 7 4 2 Storage recommendations GE recommends storing the battery outside of the device at a temperature between 20 C to 25 C 68 F to 77 F 7 4 3 Test the battery charge Before installing a battery verify the battery s state of charge Press the green TEST button on the battery The number of charge level indicator
40. delivered with the safety analyzer to perform this test Leakage Tester AC MAINS Closed Probe to exposed conductive chassis NOTE The measuring device MD represents the network and voltage measuring Instrument and its frequency characters according to IEC 60601 1 1 Configure the safety analyzer as follows NC Polarity NORMAL Neutral CLOSED Earth GND CLOSED 2 Power on the device under test 81 Document no M1165897A CARESCAPE Monitor B650 10 11 12 13 14 Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity NORMAL Neutral OPEN Earth GND CLOSED Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity NORMAL Neutral CLOSED Earth GND OPEN Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity REVERSED Neutral CLOSED Earth GND OPEN Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity REVERSED Neutral OPEN Earth GND CLOSED Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows NC Polarity REVERSED Neutral CLOSED Earth GND
41. e j B B FB um eee ME l E ENSATX l paso i M ms m a m Refer to CARESCAPE Monitor B650 Addendum for Device Compatibility for a list of compatible acquisition devices E module and PDM module parameters Most of the acquisition modules measure several parameters The following tables show the measured parameters for each acquisition module The X indicates that the module measures the listed parameter A number indicates that the module measures the listed parameter and the number of sites that can be measured for that specific parameter Parameter ECG Invasive BP SpO SpO 4 SpO Temp NIBP Imp CO7 SvO gt module Ohmeda Nellcor Masimo Resp E PRESTN Upto12 2 X 2 x X leads E PRETN Upto12 2 2 A A leads E RESTN Up to 12 X g X X leads E PSM Up to 12 A 2 A A leads E PSMP Upto12 2 X 2 X X leads PDM Upto 12 X 4 pressures x X X xx Masimo leads optional or C O or 2 TEMP PDM Upto12 xX 4pressures x X X y Nellcor leads optional or C O or 2 TEMP er o BE o po o ere Bo o o po o ESA E CO oq EC o pom BEEN p pe m E COPSv 20 Document no M1165897A System overview Parameter ECG Invasive BP SpO SpO SpO Temp NIBP Imp SvO gt module Ohmeda Nellcor Masimo Resp E NSAT NE END feet _ ff ff Se TS ANO A O IS Lb cl i The E COP and E COPSv modules also measure ventricular ejection fraction REF A dual adapter cable is
42. ePort connector Once the PDM is detected and if the VSYS ePort voltage is not enabled the VSYS OPTION s circuit breaker is enabled by a control signal from the PMC The external connectors have ESD protection RJ 45 connectors provide isolation Remote ON x5 Remote On USB1 MIC2026 2 x 500 mA L SV current limit Serial i26 EEPROM x3 Dual USB SPI S USB3 Filtering and USB4 ESD protection Remote_ON USBA from FM2CPU High Speed USB HUB VSYS MIC2026 2 x 500 mA aa TEAN L 9V current limit 5V X4 Dual USB 2 1A current limit with ADM1170 5V limited Hot swap 5V controller TMDS differential data lines Filtering Filtered TMDS Sil164 and 24 bit Digital bus PanelLink ESD Transmitter protection Analog 3 3V X2 CPU board connector x1 DVI I Filtered analog Ethernet switch BCM5325 E Eport Magnetics D SUB9 1 8V 3 3V o 10 100Base TX Power supply X6 NET3 amp NET4 10 100Base TX stacked CAT5 connector T m On og 9 d E 10 100Base TX X8 NET1 amp NET2 d IO Block diag 10 100Base TX Dual stacked CAT5 connector M1059909_001 Ad
43. emissions The CARESCAPE Monitor B650 is intended for use in the electromagnetic environment specified below The customer or the user of the CARESCAPE Monitor B650 should assure that it is used in such an environment Emissions test Electromagnetic environment guidance RF emissions Group 1 The CARESCAPE Monitor B650 uses RF energy only for its internal CISPR 11 function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment Group 2 The CARESCAPE Monitor B650must emit electromagnetic energy in order to perform its intended function Nearby electronic equipment may be affected RF emissions Class A The CARESCAPE Monitor B650 is suitable for use in all CISPR 11 establishments other than domestic and may be used in E domestic establishments and those directly connected to the Harmonic emissions Class A i p IEC 61000 3 2 public low voltage power supply network that supplies buildings used for domestic purposes provided the following warning is expressly approved by GE may cause EMC issues with this or other equipment Voltage fluctuations Complies heeded flicker emissions Warning The use of accessories transducers and cables other IEC 61000 3 3 than those specified may result in increased emissions or decreased immunity performance of the equipment or system Warning Other equipment may interfere with the system even if that other equipment complies with
44. failure Advanced interface board failure PDM is connected to the ePort connector in advanced interface board Hinge flex board is loose or defective PDM is connected to the PDM docking station Module frame flex board defective PDM is connected to the PDM docking station CPU board failure Check that the external ePort cable is intact and properly connected to the PDM module and to the ePort connector in the advanced interface board The VSYS supply voltage for the PDM module is generated in the DC DC board Check that it is within specs see section 8 3 1 Hardware statistics VSYS voltage mV If VSYS voltage is out of spec the problem is most likely in the DC DC board Replace the DC DC board Check the status of the VSYS OPTION voltage measured from the advanced interface board see section 8 3 1 Hardware statistics If the VSYS OPTION voltage is out of spec but the VSYS voltage exists in the DC DC board the problem is most likely in the advanced interface board Replace the advanced interface board Check that the hinge flex board is intact and properly mounted to the CPU board and to the module frame flex board Check the status of the VSYS RACK and VSYS ePort see section 8 3 1 Hardware statistics If the VSYS RACK and VSYS ePort voltage is out of spec but the VSYS exists in the DC DC board the problem is most likely in the module frame flex board The Ethernet communicat
45. hazardous situation that if not avoided could result in death or serious Injury Caution Indicates a hazardous situation that if not avoided could result in minor or moderate Injury Notice Indicates a hazardous situation not related to personal injury that if not avoided could result in property damage 1 3 Product security The patient monitoring software incorporates an assortment of security features designed to allow a flexible approach to safe and secure implementation focusing on the principles of confidentiality integrity and availability These features assist you in using the system in a manner that protects patient privacy and security in your setting and also addresses expectations for the environment where the system will be used 1 3 1 Security features Access control Access control is the overall mechanism used to determine and enforce the following e Who has access How individuals gain access e When access is permitted e What information may be accessed Other than clinical and Webmin applications access to other sub systems e g BIOS is restricted The clinical and Webmin application interfaces have a role based access control e g biomed and clinical A user may log into these interfaces e g Webmin to perform operations that are limited to the generic user See the user and technical manuals for detailed information on available features Authentication Authentication is the process of
46. impedance check BIS and Entropy sensor impedance check passed indicator Indicates the e specified sensor passed the impedance check v Manual NIBP icon Start a manual NIBP measurement Completed NIBP volume icon Adjust the volume of the tone that sounds when an NIBP measurement result is available m Nellcor OxiMax SatSeconds indicator Indicates the amount of time the SpO Wer saturation is outside the limits before alarms are generated SpO signal strength indicator Indicates the signal strength with three z asterisks indicating the strongest signal NMT Stimulus beep volume icon Adjust the volume of the tone that sounds e when a stimulus pulse is generated Progress bar Indicates the amount of time remaining until the next 0 min 1 7 Service information 1 7 1 Service requirements Follow the service requirements listed below Refer equipment servicing to GE authorized service personnel only e Any unauthorized attempt to repair equipment under warranty voids that warranty It is the user s responsibility to report the need for service to GE or to one of their authorized agents 15 Document no M1165897A CARESCAPE Monitor B650 Failure on the part of the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards Regular maintenance irrespective of usage is essenti
47. installed 3 Unscrew the two crosshead screws inside the recorder Note that the screws cannot be removed Torque 1 2 Nm NOTE Be careful not to damage the Hinge Flex Board on the right of the recorder 4 Pull the recorder carefully out of the Module Frame NOTE If you find it difficult to detach you also can detach the recorder by removing the Modules Frame cover unit see section 9 2 4 5 Release the snaps in the recorder EMC cover with a flat blade screwdriver while simultaneously pulling the bottom plate of the EMC cover 6 Pull the EMC cover with the recorder board out of the Module Frame When reassembling the recorder unit can be installed into the Module Frame as a whole NOTE Ensure that the recorder unit is firmly installed to the recorder connector and both Snaps in the EMC cover lock properly 151 Document no M1165897A CARESCAPE Monitor B650 9 2 3 Detaching the PDM docking mechanism 1 Detach the Module Frame front cover as instructed in section 9 2 1 2 Release the two latches on the inner left side of the Module Frame by first pressing the snaps and then sliding the latches towards you 3 Turn the PDM Docking Mechanism to a 30 angle to detach it from the Module frame flex board connector Reassemble in reverse order 152 Document no M1165897A Disassembly and reassembly 9 2 4 Detaching the Module Frame cover unit 1 Detach the Module Frame front cover see sectio
48. lt 50 uA tests 5 2 10 Test completion C 1 2 Document no M1165897A CARESCAPE Monitor B650 PASS N A FAIL PASS N A FAIL 5 3 Functional check 5 3 1 Start up 5 3 2 Display 5 3 3 Device Information 5 3 4 Configuration Information 5 3 5 Keypad and remote 5 3 6 Mouse 5 3 7 Alphanumeric keyboard 5 3 8 Barcode reader z Notes Used service parts Signature eee eee _ gt SY Date C 2 2 Document no M1165897A CARESCAPE Monitor B650 E Modules GE Healthcare Finland Oy Kuortaneenkatu 2 FI 00510 Helsinki FINLAND Tel 358 10 39411 Fax 358 9 1463310 www gehealthcare com PDM Patient Data Module GE Medical Systems GE Medical Systems Information Technologies Inc Information Technologies GmbH 8200 West Tower Avenue Munzingerstrasse 5 Milwaukee WI 53223 USA 79111 Freiburg Tel 1414 355 5000 Germany 1 800 558 5120 US only Tel 49 76145 43 0 Fax 1414 355 3790 Fax 49 76145 43 233 Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd No1 Huatuo Road Zhangjiang Hi tech Park Pudong
49. o ae NS a JTAG_RST x 2 D 3 3V_SC a LES LDO Regulator 2V Step up DC DC DERE msa conve rler EOGVESC Supercapacitor S 10F 2 5V ol Current limitter 2 o y 2 Fi 5 User interface board block di Touchscreen sensor The models with touchscreen user interface include a resistive touchscreen sensor in the front of the LCD panel The touchscreen sensor detects the presence and location of a touch within the display area and communicates the information to the touchscreen controller In non touchscreen models the touchscreen sensor is replaced by an optical filter that has a scratch resistant non glare surface coating Keypad The patient monitor has a backlit keypad board with an on standby button 2 or 13 function keys and 3 power indicator LEDs The keypad is connected to the user interface board with a connector 99 Document no M1165897A CARESCAPE Monitor B650 Trim Knob The Trim Knob control is a rotary switch with a push selection operation The Trim Knob encoder detects the direction of the Trim Knob rotation and push button use and passes that information to the CPU board via the user interface board Alarm light board The right hand side of the alarm light board contains red yellow and blue LEDs to display different priority visual alarms The left hand side of the alarm light board has blue LEDs for the silence alarm indicator light The alarm light board also has a sep
50. patient monitor does not operate either from AC mains or battery 125 Document no M1165897A CARESCAPE Monitor B650 On standby red The red on standby LED should be lit momentarily when the on standby button is pressed A lit LED normally indicates that the DC DC power supply board recognizes that the user has pressed the on standby button and should turn the monitor On Off If the On standby LED is not lit when the on standby button is pressed check the monitor for any of the following problems Defective keypad Defective U I board U I cable not connected to CPU board Defective DC DC board Defective CPU board 12V yellow These secondary voltages are created by the DC DC board and they should be lit when the monitor is turned On and operates normally If one of the secondary voltages is not present LED not lit when the 5 V green monitor is turned On from the on standby button the DC DC board is 3 3 V yellow most likely defective 15 VMOD green 8 4 2 Network status LEDs The interface board includes network status LEDs to help in troubleshooting network connectivity and communication problems These LEDs are located next to each network connector in the rear of the monitor Standard Interface board Advanced Interface board MC MC ID E NA IX Link 9 Activity A green dual LED Y LED purpose LED green green link 8 activity
51. proving individual identity and is a key element in an access control system In the clinical and Webmin applications there are certain features that require user authentication To access these features the user must log into the clinical and Webmin applications with a valid username and password See 4 3 13 Passwords for detailed information on managing passwords 4 Document no M1165897A Introduction Authorization Authorization is the process of granting and revoking access to information and is another key element in an access control system Although primarily an administrative process that is driven by an organization s policies and procedures the patient monitor contains features that will help implement and enforce an organization s method Both clinical and Webmin applications have an authorization mechanism to provide information to the user Audit The ability to record and examine system activity is crucial to a successful information security program as well as a regulatory requirement in most environments The patient monitor stores system and Webmin access logs Malicious software protection Vigilant defense on many levels is required to keep systems free from compromise by malicious software Effective protection requires cooperation and partnership between GE and our customers Based on the Linux Operating System the patient monitor has a built in firewall to allow external communication to occur on
52. required to monitor two Invasive BP Temp measurements on a single connector HDifferent SpO2 cables are required for each type of SpO2 processing The cable connectors are not interchangeable module stimulation enm Koo Poo Poo ooo Poo ooo EEES AA eos tT eentrory fof Parameter Anesthetic Agent Patient module agents identification E Eminic ee O A ew px x P So Y e pow p x e qo d pm Pm SA E BL mn RE 1 1 www m m n AR ER de E S The E CO E COV and E COVX modules automatically compensate for N20 in realtime although N O values are not displayed on screen The E miniC requires manual selection from the monitor menu to compensate for N O Letters on the airway modules stand for C CO and N50 in Compact Airway Modules O Patient O V Patient Spirometry A Anesthetic agents i Agent identification X Gas exchange 21 Document no M1165897A CARESCAPE Monitor B650 2 2 4 CARESCAPE Network MC or S 5 Network The CARESCAPE Monitor B650 is compatible both with the CARESCAPE Network MC and the S 5 Network infrastructures The optional WLAN support enables wireless network communication using IEEE 802 11a b g Refer to CARESCAPE Monitor B650 Addendum for Device Compatibility for a list of compatible CARESCAPE and S 5 Network devices ELCORNDAHY t t oL t ow Fi ae Em a IA IO EEA I IE eas MY i 1 L m M M M Y LM LM V v IM i E Am E Y T E
53. section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Printers On the Sub Modules for Printers menu select Delete Printer On the Delete Printer window select the printer to delete Select Save The change will take effect immediately Print a test page 1 2 B 4 S If you have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Printers On the Sub Modules for Printers menu select Print Test Page On the Print Test Page window select the printer Select Save 4 5 6 MUSE 12SL This Webmin module allows the user to configure the MUSE 12SL settings NOTE MUSE viewing and the related configuration settings are available only if the monitor is equipped with the Advanced Interface Board that provides both the MC and the IX Network interfaces 60 Document no M1165897A Configuration NOTE MUSE viewing is a licensed software feature You can configure the MUSE 12SL settings independent of the license status but actual viewing of MUSE reports requires that the MuseView license is enabled Settings to send 12SL data 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select MUSE 12SL 5 Onthe MUSE 12SL window enter the applicable information in the following fields
54. select Barcode Settings Under Barcode Setup on the Barcode Settings window select the applicable parser type Used with this type of barcode No Parser Simple barcode that contains one piece of information but no data control so there is no need for a parser Length Delimited Parser Barcode that specifies the beginning position and length of each field on the barcode Character Delimited Barcode that specifies a special character Parser that separates each field on the barcode 2 Select Save If you selected No Parser the barcode setting configuration is complete For a Length or Character Delimited Parser follow the applicable instructions Configure length delimited parser information on page 62 Or Configure character delimited parser information on page 64 Configure length delimited parser information Points to note Ifyou configure Age you must either select the Age Unit item or one of the age units e 9 Years Months Weeks Days under Fixed Option Ifyou configure Height you must either select the Height Unit item or one of the height units e g Feet Inches Meters Centimeters Millimeters under Fixed Option Ifyou configure Weight you must either select the Weight Unit item or one of the weight units e g Kilograms Grams Micrograms Pounds Ounces under Fixed Option 62 Document no M1165897A Configuration Foran example of admit discharge configuration
55. that are not e allowed by the monitor including the Primary Physician 99 following characters Referring Physician 99 Pato slat OESE Ses 67 Document no M1165897A CARESCAPE Monitor B650 4 3 8 Power frequency WARNING This Webmin module allows the user to set the power line frequency Incorrect power line frequency setting could adversely affect ECG and EEG processing 1 If you have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select Power Frequency 3 In the Power Frequency window select the applicable power line frequency 4 Select Save The power frequency configuration takes effect immediately 4 5 9 Language This Webmin module allows the user to select the language used in clinical user interface and to select the keyboard locale setting for the alohanumeric keyboard and the barcode reader 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Language In the Language window select the patient monitor language and keyboard language Select the monitor language from the drop down list and select Save Select the keyboard locale from the drop down list and select Save Sog ow I The language takes effect after the patient monitor is restarted The keyboard locale takes effect immediately
56. the thin adhesive layer too 4 Make sure the contact area for the antenna board adhesive in the Front Unit Assembly is clean and free of grease Attach the antenna board with the longer black antenna cable to left side of the Front Unit Assembly as shown in the picture Make sure the antenna board is firmly attached to the Front Unit Assembly Align the loop in the antenna cable carefully between the display and the aluminum Mid Frame as shown in the picture The orientation of the antenna cable is important to ensure reliable wireless communication Make sure the contact area for the antenna board adhesive in the Front Unit Assembly is clean and free of grease Attach the antenna board with the shorter white antenna cable to right side of the Front Unit Assembly as shown in the picture Make sure the antenna board is firmly attached to the Front Unit Assembly Align the loop in the antenna cable carefully between the display and the aluminum Mid Frame as shown in the picture The orientation of the antenna cable is important to ensure reliable wireless communication 174 Document no M1165897A Disassembly and reassembly NOTE Place the antenna cables carefully as shown in the pictures Reassemble the Top Cover Grease the rubber gasket of Top Cover to reassemble it smoothly 175 Document no M1165897A CARESCAPE Monitor B650 176 Document no M1165897A Service parts 10 Service parts NOTE
57. this test for all the connected parameter modules and patient connectors specified in Table 1 1 Configure the safety analyzer as follows NC Polarity NORMAL Neutral CLOSED Earth GND CLOSED 2 Poweron the device under test 3 Read and record the current leakage indicated on the safety tester 4 Configure the safety analyzer as follows SFC Polarity NORMAL Neutral OPEN Earth GND CLOSED 5 Read and record the current leakage indicated on the safety tester 6 Configure the safety analyzer as follows SFC Polarity NORMAL Document no M1165897A 10 11 LZ 13 14 L5 Neutral CLOSED Earth GND OPEN Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity REVERSED Neutral CLOSED Earth GND OPEN Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity REVERSED Neutral OPEN Earth GND CLOSED Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows NC Polarity REVERSED Neutral CLOSED Earth GND CLOSED Read and record the current leakage indicated on the safety tester Power off the device under test Installation checkout Repeat this test for all the connected parameter modules and pat
58. to communicate on the following frequency bands protocols and data rates 2 4 GHz IEEE 802 11b up to 11 Mbps 24 GHz IEEE 802 11g up to 54 Mbps 5 1 GHz IEEE 802 11a up to 54 Mbps NOTE In the S 5 Wireless Network the frequency band is fixed to 2 4 GHz and it supports 802 11b protocol only Use the default RTS Threshold value 2347 unless otherwise specified in the wireless network design A valid RTS Threshold is a numeric value within the range of 0 to 2347 NOTE This option is not configurable in the S 5 Wireless Network Fragmentation Threshold specifies the maximum frame size a wireless device can transmit without fragmenting the frame A valid Fragmentation Threshold is a numeric value within the range of 256 to 2346 Use the default Fragmentation Threshold value 2546 unless otherwise specified in the wireless network design NOTE This option is not configurable in the S 5 Wireless Network Select QoS configuration setting as specified in the wireless network design NOTE This option is not configurable in S 5 Wireless Network 55 Document no M1165897A CARESCAPE Monitor B650 WMM AC Parameters Configure the WMM AC Parameters CWmin CWmax AIFS TXOP for each access category voice video best effort and background if the QoS Configuration was selected as WMM Wireless DSCP Configure the DSCP settings for the Settings following network traffic Real Time Clinical Traffi
59. value is displayed in red if the current reading exceeds a pre determined lower or upper limit A value is displayed either as 0 or as if it cannot be measured To access hardware statistics 1 Logonto Webmin 2 Select Diagnostics Hardware Stats 3 Scroll down the page to view the following device information The controlled parameters are measured with A D converters and temperature sensors in the specified subsystem The measured values are then communicated over the 12C bus to the power management controller in the DC DC board for processing except for CPU voltages which are both measured and processed by the CPU board Document no M1165897A Measurement 1 5V CPU Core Voltage in mV 1 8V CPU Core Voltage in mV 2 5V CPU Core Voltage in mV 12 Vsync CPU Voltage in mV 12 Vsync CPU Voltage in mV AC DC voltage mV VSYS voltage mV 15V MOD voltage mV 12V voltage mV 5V voltage mV 3 3V voltage mV 5V REC voltage mV 12V REC voltage mV 15V MOD PSM voltage mV Troubleshooting These CPU core voltages are generated on the CPU board from the 3 3 V supplied by the DC DC board These voltages are generated for the ECG and Invasive pressure analog outputs and marker out synchronization pulse The voltages are measured from the CPU board The AC DC voltage is generated by the AC DC power supply unit and supplied as an input voltage to the DC DC board The voltage is
60. view the customer assigned asset number of the PDM Licensing PDM This setting allows you to manage the PDM feature licenses ECG Filter PDM This setting allows you to temporarily Configuration disable the ECG filter of the PDM STP TP ST Settings E PRESTN E PRETN This setting allows you configure the E RESTN E PSM amp STP TP ST setting after replacing the STP E PSM board P PT PP Settings E P E PT amp E PP This setting allows you to configure the P PT PP setting after replacing the STP board Module asset settings NOTE This configuration applies only to the PDM NOTE The Device Serial Number field is view only and cannot be changed To set the device asset number of a PDM 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select Modules 3 Inthe Sub Modules for Modules menu select Assets Settings In the Assets Settings window enter the user assigned asset number for the device in the Change Value to column 5 Select Save The change will take effect immediately 4 3 12 Host asset settings This Webmin module allows the user to enter a host asset number and to view the host serial number NOTE The Host Serial Number field is view only and cannot be changed To set the host asset number 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select th
61. your Aware Gateway configuration WARNING EXCESSIVE LEAKAGE CURRENT Only devices that are specified compliant with IEC 60950 1 or IEC 60601 1 may be connected to the Ethernet MC or IX ports The patient monitor can be connected either to the wired MC Network or S 5 Network Connect the MC Network or the S 5 Network patch cable to the network connector labelled as MC in the rear panel of the patient monitor 3 3 7 Connecting to the IX Network Connect the IX Network patch cable to the network connector labelled as IX in the rear panel of the patient monitor NOTE Connection to the IX Network is possible only if the monitor is equipped with the Advanced Interface Board 3 3 8 Connecting to a Unity Network ID connectivity device Ensure that the Unity Network ID connectivity device is properly mounted installed and configured prior to connecting it to the patient monitor e Connect a Unity Network ID connectivity device to the network connector labelled ID in the rear panel of the patient monitor 40 Document no M1165897A WARNING Hardware installation NOTE Connection to the Unity Network ID connectivity device is possible only if the monitor is equipped with the Advanced Interface Board Before connecting an interfacing module to the device verify compatibility Verify the connectivity of device interfaces before using the equipment Verify the compatibility of software versions before using the equipment
62. 116 S22 DEVICES In TO dto tem au teta i umts Nd ratio 117 So Webminm Dggnosics lO Oth sne toon E E E ee 118 Sb A y e Cll SUE GU GO EE A E E E 118 8 32 PING TCP IP o A r ena be O EENEI 120 8 3 3 WLEANIIONOS EStdt ideada 121 NS A A mans D EE 123 p Other TOUDIESHOOUNG OCIS AAA A see cca d 125 8 4 1 Power management LEDS 3 tee ga aedi are Tree EROS S bar ud rms 125 94 2 Network status LEDS ca neuste coautor SPEECH ROMS la Suo R ek 126 94 5 Battery gghi9sbleSieedmpme n obe A dum do cat a eben 127 85 Ermormessages and CodeS esmaltada we ve ne NUS FEET RIDE a cu oe 128 8 6 Problems and solutions corral tina eau dn ia 131 SG Sti UO Tl A A a ee moss 131 862 Userinteridce SSUES eera E DE OSEE EE r UE NE 134 S675 MCORPECL SV tem NE eetarea ER a AAE 155 Sot ECEN UE CE 136 95 5 RECO ISS Csi Lu E cecus eaten teats gatas wena tac o e Repo DL Ls 137 8 6 6 Acquisition module Problems au smart 137 8 6 7 CARESCAPE Network communication ISSUCS 0 0 ccc cece e 140 8 6 8 S 5 Network communication issues ee 143 9 Disassembly and reassembly 145 Su IDISGSSemin CMG Clie Siete aai ticks tesa Et eue Fus ete sens i eeu ae SUM ee NUR 145 s MEI ecce PEERS ITI IULII 145 iV Document no M1165897A Table of contents 90 RedssembY precatio sco bemus ba act A d dat dud 145 91 5 REGUE OOS ase dtes dti ood Gad Meus eda E R O E TN 146 9 14 Beroredisess SITIDIV ateos oia em abes etii Estrena ocu EV Ub en EE E 146 92 TiMod leTram
63. 4 2 8 kV air 8 kV air material the relative humidity should be at least 30 Electrical fast 2 kV for power supply 2 kV for power supply Mains power quality should be that of a transients bursts lines lines typical commercial or hospital IEC 61000 4 4 500 V for power supply environment lines 1 kV for input output 1 kV for input output lines lines Surge 1 kV differential mode 1 kV differential mode Mains power quality should be that of a IEC 61000 4 5 2 kV common mode 2 kV common mode typical commercial or hospital environment Voltage dips short lt 5 Ur lt 5 Ur Mains power quality should be that of a interruptions and gt 95 dip in Uy gt 95 dip in Uy typical commercial or hospital environment voltage variations on for 0 5 cycle for 0 5 cycle If user of the CARESCAPE Monitor power supply lines B650 requires continued operation during IEC 61000 4 11 40 U 40 Ur power mains interruptions it is 60 dip in U 60 dip in U recommended that the CARESCAPE Monitor for 5 cycles for 5 cycles B650 be powered from an uninterruptible power supply or a battery 10 Ur 70 U 30 dip in U 30 dip in Uy for 25 cycles for 25 cycles lt 5 Ur lt 5 Uz gt 95 dip in U gt 95 dip in U for 5 sec for 5 sec Power frequency 50 60 3 A m Power frequency magnetic field should be at Hz magnetic field levels characteristic of a typical location in a IEC 61000 4 8 typical commercial or hospi
64. 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select Licenses 3 Inthe Sub Modules for Licenses menu select Host Licensing In the Host License window enter the activation code by the appropriate OPTIONAL host license feature NOTE To activate an OPTIONAL TRIAL license enter the expiration date in addition to the activation code 5 From the Status drop down list select ENABLED 6 Select Save All license changes take effect after the next system restart 4 5 3 Upload license file Upload a valid license file as follows 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Licenses In the Sub Modules for Licenses menu select Upload License If you are using Webmin a ANN from a service PC you can upload the license file from any mass storage device connected to the service PC In the Upload Software Package and Host License window enter the file name of the license file or click on Browse to select a file using the Choose file dialog box b locally through the integrated browser you can upload the license file from a USB flash drive that is connected to one of the patient monitor s USB ports In the Upload Software Package and Host License window select the license file to be uploaded NOTE Do not disconnect the USB storage device until downloading is complete Se
65. 5 Network the patient monitor s date and time is automatically synchronized with the date and time of the iCentral it is connected to You can set the date and time locally only if the monitor is not connected to the S 5 Network and the monitor is in a discharged state NETWORK DEVICE TIME SYNCHRONIZATION When adding a new device to the CARESCAPE Network the existing devices on the CARESCAPE Network will synchronize to the new device s time To prevent potential time synchronization issues you should set the new device s time to be as close as possible to the time within one minute or less used by the existing GE devices on the CARESCAPE Network 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab CAUTION 58 Document no M1165897A Configuration On the Configuration tab select Time 3 Under Configure Date and Time on the Time Configuration window update the following fields as needed e Date E Month e Year Hour Minute AM PM e 12 24 Hrs 4 Select Save The manual time configuration takes effect immediately 4 3 4 Unit and bed name This Webmin module allows the user to configure the care unit name and bed name for patient monitors that are connected to the MC Network NOTE The unit name shall be set the same with all the monitors and CARESCAPE CIC Pro central stations that are connected to the same care unit in the MC Network Be
66. 50 AC DC power supply the DC DC cable and 4 mounting screws M1168221 FRU Mains Fuses 10 pcs B650 FUSE AA T 250V 5x20mm high breaking capacity 1500A IEC UL CSA CCC 10 M1168224 FRU Rear Unit Assembly B650 Complete rear unit assembly with handle unit and module frame mounting wall hinges and release mechanism Includes also AC inlet with fuses and wiring to AC DC power supply unit equipotential connector cable clamp for power cord and mounting screws WO Excludes the plastic part that has device plate and other labelling 177 Document no M1165897A CARESCAPE Monitor B650 FRU Item Part FRU Item Description Additional text Number 11 M1168225 FRU Front Unit Assy for Touchscreen Includes front unit assembly with touchscreen Model B650 sensor alarm light lens board amp cable buzzer unit and 7 mounting screws Includes also 2 WLAN mounting tapes to re mount antenna boards Excludes user interface board ref M1178221 trim knob ref M1178254 and the keypad see table NOTE Always order the front unit assembly FRU always with a new keypad 12 M1168226 FRU Front Unit Assy Non Touchscreen Includes front unit assembly with display B650 window alarm light lens board amp cable buzzer unit and 7 mounting screws Includes also 2 WLAN mounting tapes to re mount antenna boards Excludes user interface board ref M1178221 trim knob ref M1178254 and the keypad see ta
67. 650 Pass Key Phrase Enter the Pass Key Phrase for the used confidentiality method as an ASCII or HEX string as selected above WEP 64 bit WEP 128 bit Entera 5 13 character long ASCII string The system will generate a 10 26 character hexadecimal security key and assign it to the currently selected Key Index The Pass Key Phrase of the wireless client must match the Pass Key Phrase of the wireless infrastructure A valid ASCII Pass Phrase includes only printable ASCII characters including space ASCII decimal 32 to 126 A valid HEX Pass Phrase may include numeric characters 0 9 and alpha characters A F NOTE A pass phrase will be displayed as 10 successive asterisk characters after it has OR been saved Enter a 10 26 character long hexadecimal HEX string This security key will be assigned for the currently selected Key Index WPA PSK TKIP and WPA2 PSK AES CCMP Entera8to 63 character long ASCII string OR Enter a 64 character long hexadecimal HEX string Confirm Pass Phrase Re enter the Pass Phrase entered MEE UO above Select Save to confirm the selections above If the WLAN Radio status is changed all WLAN configuration changes takes effect on the next monitor restart If the WLAN Radio status is not changed all WLAN configuration changes will take effect immediately 4 5 5 Time This Webmin module allows the user to set the date and time settings NOTE In the S
68. 65897A CARESCAPE Monitor B650 NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the CARESCAPE Monitor B650 is used exceeds the applicable RF compliance level above the CARESCAPE Monitor B650should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the CARESCAPE Monitor B650 Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m or 1 V m 1 Impedance respiration measurement is inherently very sensitive as it measures very small physiologic signals Table4 Recommended separation distances between portable and mobile RF communications equipment and the CARESCAPE Monitor B650 Recommended separation distances between portable and mobile RF communications equipment and the CARESCAPE Monitor B650 The CARESCAPE Monitor B650is inten
69. C 8 In the Address field type https MC IP address 10000 and press Enter NOTE MC IP address is the MC Network IP address of the patient monitor The Login to Webmin dialog box displays 47 Document no M1165897A CARESCAPE Monitor B650 Webmin on FM2CPU 7570021 Microsoft Internet Explorer PES File Edit View Favorites Tools Help de Back x i2 f ya Search jr Favorites E E y ku Lj E rel Address https 13 187 27 10 100001 v EJ co Links g You must enter a Username and password to login to the Webmin server on 3 187 27 10 Username Password Host Serial Number SEVWOS050258HP Host Software Version 1 1 0 12 1 IX IP Address 3 187 27 10 IX Netmask Mask 255 255 255 0 Continue to 4 2 5 Login to Webmin After completing using Webmin 1 4 You can exit the monitor s maintenance mode any time by pressing any keypad or keyboard key using the Trim Knob using the touchscreen or clicking a mouse button The monitor will automatically restore the original network configuration to the S 5 or MC Network and return to the normal monitoring mode Restore the original network settings in the service PC Disconnect the crossover cable from the monitor and from the service PC Reconnect the monitor back to the S 5 or MC Network if applicable 4 2 4 Remote access to Webmin using a service PC over the IX Network NOTE This connection method is supported only if the monitor is equipped w
70. CII character 32 and ASCII characters 127 and above NOTE If the character selected exists in any field in the barcode it will be misinterpreted as a field delimiter 3 Under Gender Code enter the codes that identify Male and Female Under Fixed Option select the applicable value Item Item selection on the top part of Fixed Option selection the screen Height Unit Unit Both Height and Height Unit Height and Height Unit Non Re Height 2 Select value from BED down list 5 Scroll to the bottom of the window and select Save All changes take effect immediately Sample character delimited parser information entry In the following example the barcode contains 12 items and uses the pound sign as a delimiter Sequence number of the item in the barcode CI latnone E me 65 Document no M1165897A CARESCAPE Monitor B650 Sequence number of the item in the barcode eon RN The following sample shows the corresponding entries on the Admit Discharge Configuration window AdmitiDischarge Configuration Character Delimited Parser 4 Ico r2 I on g e NE l Fixed Option Barcode data specifications Points to note The maximum length of the entire barcode is 300 66 Document no M1165897A Configuration Ifthe field value is longer than the maximum length indicated the right most characters will be truncated when the value is displayed on the Admi
71. CISPR emission requirements Warning Pins of connectors identified with the ESD warning symbol should not be touched Connections should not be made to these connectors unless electrostatic discharge ESD precautions are used CAUTION Use of known RF sources such as cell portable phones or other radio frequency RF emitting equipment near the system may cause unexpected or adverse operation of this device system Consult qualified personnel regarding device systemconfiguration CAUTION The device system should not be used adjacent to or stacked with other equipment Consult qualified personnel regarding device system configuration CAUTION Changes or modifications to this device system not 1 CARESCAPE Monitor B650 without Wireless LAN 2 CARESCAPE Monitor B650 with Wireless LAN A 1 4 Document no M1165897A CARESCAPE Monitor B650 Table 2 Guidance and manufacturer s declaration electromagnetic immunity Guidance and manufacturer s declaration electromagnetic immunity The CARESCAPE Monitor B650 is intended for use in the electromagnetic environment specified below The customer or the user of the CARESCAPE Monitor B650 should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge 6 kV contact 6 kV contact Floors should be wood concrete or ceramic ESD tile If floors are covered with synthetic IEC 61000
72. E WARNING Do not incinerate a battery or store at high temperatures Serious injury or death could result 55 Document no M1165897A CARESCAPE Monitor B650 NOTE Refer to section 7 4 Monitor battery maintenance in this manual for maintenance instructions of the monitor battery Refer to the Module Frames and Modules Technical Manual for more information about PDM battery installation and maintenance Testing the battery charge Before installing a battery to the patient monitor or PDM Module verify the battery s state of charge Press the green TEST button on the battery The number of charge level indicator LEDs that illuminate indicates the approximate charge remaining in the battery Four LEDs illuminated 75 100 of full charge capacity Three LEDs illuminated 50 74 9 of full charge capacity Two LEDs illuminated 25 49 9 of full charge capacity One LED illuminated 10 24 9 of full charge capacity J One LED flashing lt 10 of full charge capacity remaining NOTE Before taking the monitor into use for the first time the batteries should be fully charged Keep the PDM connected to the patient monitor and the patient monitor connected to the AC mains until the batteries are fully charged Installing the battery into the patient monitor 1 Open the battery cover by turning the battery cover lock 90 degrees clockwise 2 Insert the battery with the test indicator side up a
73. GE Healthcare CARESCAPE Monitor B650 Technical Manual Software Version 1 Conformity according to the Council Directive 93 42 EEC concerning Medical Devices amended by 2007 47 EC All specifications subject to change without notice English Order code M1191150 CD M1120168 paper 4 edition Document number M1165897A 28 June 2012 2010 2011 2012 General Electric Company All rights reserved Trademarks Listed below are GE Medical Systems Information Technologies Inc and GE Healthcare Finland Oy trademarks All other product and company names contained herein are the property of their respective Owners DINAMAP IntelliRate MUSE TRAM Tram Net Tram Rac Trim Knob Aqua Knot Quantitative Sentinel Unity Network Multi Link 12RL 12SL CIC Pro and EK Pro are trademarks of GE Medical Systems Information Technologies Inc S 5 D lite D lite Pedi lite Pedi lite D fend D fend Mini D fend Entropy PatientO2 and Patient Spirometry are trademarks of GE Healthcare Finland Oy Datex Ohmeda and OxyTip are trademarks of GE Healthcare Finland Oy and Datex Ohmeda Inc iPanel is a trademark of GE Healthcare Finland Oy and GE Medical Systems Information Technologies Inc CARESCAPE is a trademark of General Electric Company Third party trademarks Masimo SET is a trademark of Masimo Corporation Nellcor is a trademark of Nellcor Puritan Bennett Inc WMM WPA and WPA are trademarks of Wi Fi Alliance
74. Hazardous Substances in Electronic Information Products The number in the symbol is the Environment friendly User Period EFUP which indicates the period during which the toxic or hazardous substances or elements contained in electronic information products will not leak or mutate under normal operating conditions so that the use of such electronic information products will not result in any severe environmental pollution any bodily injury or damage to any assets The unit of the period is Year In order to maintain the declared EFUP the product shall be operated normally according to the instructions and environmental conditions as defined in the product manual and periodic maintenance schedules specified in Product Maintenance Procedures shall be followed strictly Consumables or certain parts may have their own label with an EFUP value less than the product Periodic replacement of those consumables or parts to maintain the declared EFUP shall be done in accordance with the Product Maintenance Procedures This product must not be disposed of as unsorted municipal waste and must be collected separately and handled properly after decommissioning This symbol indicates that this electronic information product does not contain any toxic or hazardous substance or elements above the maximum concentration value established by the Chinese standard SJ T11363 2006 and can be recycled after being discarded and should not be casually discarde
75. INDOW F Sca X e GN ll 6ury90q Idd 19p1099yY xong AG J9yy 21 Jexeaug UND ACL pieog 998J19 U J9p1028M peius INI xoo g jeuonounJ JOJOBUUND 9 qe dws eujeJjpoi ozi QN OZI yong POWAG J9YOJIMS BAG L Jexe28Jq N9119 SASA JexeoJq PNI POW AS opooep 10 SISA JO JO JexyeoJq N1 J8MOd YO Ya JexeeJq NIJI POWASL INSd QN OZI pieog pieog X3 awes4 SNPOIA 9981934 9INPOM 3 AECL 6 NOI uo ejouiey g qisjuo pieog JO0J99UUOY seau pouug 9 SASq BeJui ouudAG4 e up 4371 8u5 8 Mod sooq xonq POW AG ysooq yong AZL loyeg Asayeg Heus aseyaju 9UAS day 9 queg 29J19 U1 JopJooes eoepeju sng ajnpoyy 99 13 1911013409 Sng eijnpojy jeuJeuj3 X5nq AE oe remo iewgymis PALOS I O S o o ees OWd eee pus 2 C I ALS e i 19 o3u02 ISOH GSN n 4 5 ndino E sesny O JosiMedng 9 Jojejeuec suo Il O O Jayy SUEN i Rule a AUD i Q ZH09 09 o S UA s emere teo PS Sa ecce O m JosiAaJadns eBe3oA 2 BopuojeM 9 qe2 JOLSAU la EU O O INvHaS ysela Kiowa yun i lt Y i JOSS920Jd UEN i Jexyeeds m l O yun Aj ddng 1amod pieog O od aV prog nao Aya ISMOAME T a 14611988 jp ipee A gt 91589 feda E AU SINPON 91qe9 pled 49 to uo sig asn eoepelu Jas JOAI92UEJ IM YN woan NV1IM sdwe gt 1499 N s ag1 upped JOSUSS S 31 Joyeolpu u99J5S Jejonuo2 ueeJog uon
76. ION Safety ground precaution Remove power cord from the mains source by grasping the plug Do not pull the cable 15 Equipment symbols 8 NOTE The following symbols appear on one or more of the devices ES Bell cancel Audio off Audio pause Temporary audio off A General alarm Fuse Replace with identical type and rating fuse MN Do not reuse Battery monitor The flashing orange symbol indicates that there is a ri battery failure missing battery FRIA Battery monitor The solid orange symbol indicates that the battery is being charged W i Document no M1165897A Introduction Battery monitor The solid green symbol indicates that the monitor is being used on battery power Battery monitor The battery slot cover is open closed Battery monitor Test button to check the battery charge level Battery monitor Battery PDM Communication PDM Power indicator PDM e Zero all PDM T Defibrillator synchronization connector port DVI connector Video output connector for digital or analog source USB connector port Ethernet connector port Gas inlet E Gas outlet 9 Document no M1165897A CARESCAPE Monitor B650 10 Degree of liquid ingress protection 5 x I Home Return to the main display Alternating current On the monitor front panel the monitor is being used on mains power Direct current Equipote
77. LEDs that illuminate indicates the approximate charge remaining in the battery Four LEDs illuminated 75 100 of full charge capacity Three LEDs illuminated 50 74 9 of full charge capacity Two LEDs illuminated 25 49 9 of full charge capacity One LED illuminated 10 24 9 of full charge capacity One LED flashing lt 10 of full charge capacity remaining 7 4 4 Charge the battery The battery charges whenever it is installed into the patient monitor and the patient monitor is connected to an AC power source The battery is charging both when the patient monitor is turned on and when it is in the standby mode Battery is charging as long as the orange battery charging indicator LED is lit 7 4 5 Condition the battery 112 Battery conditioning is needed if the Condition monitor battery message is displayed Condition the battery by fully discharging and recharging the battery twice according to the following procedure NOTE The patient monitor must be in a discharged state during battery conditioning Disconnect any acquisition modules from the patient monitor if connected 1 Turnon the patient monitor Disconnect the power cord from the wall outlet Leave the patient monitor on until the battery is fully discharged and the patient monitor turns off automatically NOTE Ignore the Battery Low and Battery Empty messages when discharging the battery Document no M1165897A Ma
78. M leneg 13S3Y0d josal uo 19MOd A 5 Josoy untur A NS Van et 38 SATE EAU ey xoeqpaoe 38 AEEIASZIAS VAS 1 60 2AO as UYWSZL AE Jeynq xo fue 1000 NE E Jeus soyesique Dd Jq c ZH o z Od snq Od Be a n a SE E a A 3 a 3 5 nvas ro 53 3 g sl sp 2 9 5 9 5 9 E ner S AE S n amp 01 8 6719 O l SX90 9AI929 Y TIUISUEJ AEt S Z ASc Kidd ns 19943 eoepejur youreur3 001 01 IIN Ad d AG e OcSLlOd Ae e tasn VOoLozZadn ccLWS AS b Je o guoo LOGZINOd casn J9 01 U0D INGexuA1 ASIE snqpled oepoo o z asn UOHOW UOO IS repeaur oy ONASA oipne asn zasn Jojo43uoo Aejdsiq E looo GAA jaued Jeja ada Ace c r dd 2 evewdO a oran p a 1914 d7 Jayyduy Sam 3 688S0LIN vezzz AS E Sar 68 6XVIN 2 2 z 6002 0 OL jog Wows ACER VETT ELOY XVIN a uj 5 led 5 JaMod AS Jayiduy o ss o 20 Q oipny cS e R s a a Y z Ndd CWS a ssejg T S l lt jw 2 5 S 2 pcs 9 mg Tigh P uJeJBeip x oo g NVIM mo Jojoeuuoo pJe2 42 ux 1exyeeds Jojoeuuoo pieoq o I ZX joued SAAT SJesynesH 39 LX vLX CPU board block diagram Figure 4 Document no M1165897A 96 Theory of operation Main processor and memory The main processor manages the data processing of the patient monitor It has non volatile flash memory for the bootloader software and Linux kernel and volatile SDRAM memory for run time code execution and temporary data stora
79. PSMP ECG amp SpO2 E RESTN E PSM ECG amp SpO2 E PRETN ECG amp LL 1 Connectthe Digital Signal Converter DSC with the Patient Interface Cable PIC to the E BIS module 2 Connect the specified test body to the PIC cable NOTE The patient isolation is in the DSC not in the E BIS module E Entropy 1 Connect an Entropy sensor cable to the module 2 Connect the specified test body to the Entropy sensor cable E EEG 1 Disconnect the N EEG headbox from the E EEG module 2 Connect the test body directly to the E EEG module PDM ECG amp SpO2 85 Document no M1165897A CARESCAPE Monitor B650 5 2 8 Patient source leakage current tests 84 This procedure measures the leakage current from an applied part connector of the device to ground Perform the test in Normal Condition NC and in two different Single Fault Conditions SFC 1 earth open and 2 one of the supply conductors open at a time Perform test with normal and reverse polarity NOTE Refer to the instructions delivered with the safety analyzer to perform this test Leakage Tester LINE 2 o NORM Power Cord gt o I RVS j Closed Patient connector Test Body eS i mex NOTE The measuring device MD represents the network and voltage measuring instrument and its frequency characters according to IEC 60601 1 l l l l l l I l l I l I l i l i Open i O I l l l l l I l l l l l l l I NOTE Perform
80. SSID also known as network name identifies a particular wireless network The patient monitors shall be configured to use the same SSID with the access points to enable wireless communication It is recommended to configure access points not to broadcast SSID to the wireless network The wireless MC Network shall be logically separated to its own virtual LAN with a dedicated SSID The S 5 Wireless Network shall have dedicated access points that are physically isolated from all other networks Security Authentication and Confidentiality The data transmitted on the wireless network can be secured by one of the following methods WEP 64 bit NOTE S 5 only WEP 128 bit WPA PSK TKIP NOTE MC only WPA2 PSK AES CCMP NOTE MC Only Document no M1165897A Introduction Maintenance After performing maintenance record the service performed by using the check form provided with the technical manuals 1 3 3 Product change management GE has rigorous software verification and validation processes Any software update needs will be communicated by GE The patient monitoring system including all aspects of software should be used as it was intended by GE 1 3 4 Communication For detailed product security information go to one of the following Web addresses http www gehealthcare com usen security http www gehealthcare com usen security mds2 html 1 4 Safety symbols NOTE The following safety related symb
81. SYS ePort circuit breaker The value is shown as if PDM module is not connected or if VSYS OPTION voltage is enabled The VSYS RACK voltage is measured from the module frame flex board before the VSYS ePort circuit breaker The VSYS EMOD voltage is measured from the E module interface board before the VSYS EMOD circuit breaker The VSYS EMOD voltage is shown as if the E module interface board is not installed The VSYS OPTION voltage is supplied for a PDM module that is connected to the ePort DB9 interface in the advanced interface board It is measured from the advanced interface board after the circuit breaker The value is shown as if PDM module is not connected or if VSYS ePort voltage is enabled System power mW Power consumption is measured from the DC DC board Module power mW e System power is the total power consumption of the patient monitor taken from the AC DC output or Battery The battery charging power is included in system power by PMC CPU calculation Module power describes the total power consumption of the connected acquisition modules CPU temperature C Temperature is measured from the DC DC temperature C CPU board EMOD temperature C DC DC board OPTION temperature C E Module interface board Advanced interface board The EMOD and OPTION temperatures are O if the related board is not installed 8 3 2 Ping a TCP IP network device Use this Webmin feature to v
82. TITTE Eos fe dit kbh bibi m be m MIN A LIE bbi m b i i aa CT E aa gu r n4 d a ta ATL F 5 Detach the Hinge Flex Board and the Display Cable from the CPU Board NOTE Be careful not to damage the Hinge Flex Board 6 Detach the Sync cable the Loudspeaker cable and the U I cable from the CPU Board 7 Remove the nine T10 screws holding the CPU Board to the mid frame 8 Detach the CPU Board Torque 0 8 Nm Reassemble in reverse order Insert the WLAN card into the card slot Place the antenna cables carefully inside the cover NOTE Center align the user interface cable carefully to the connector in the CPU board and or User Interface Board lt Note the alignment pins to set the CPU board in the right place 163 Document no M1165897A CARESCAPE Monitor B650 9 3 10 Detaching the AC DC board and rear unit assembly 3 1 Detach the Rear Unit from the Front Unit C DC cable IO see section 9 3 5 l 2 Detach the AC DC cable from the cable holder 3 Detach the power cable from the AC DC Board 4 Remove the T10 screw that attaches the housing back cover to the Rear Unit Assembly Torque 0 8 Nm 5 lt Release the two snaps that are located on the left side next to AC DC board 6 Detach the housing back cover by turning it and simultaneously releasing the two other snaps NOTE The loose cable clamp and spring may drop when det
83. VMod supply voltage for the connected E modules from the VSYS input voltage using a step down converter It generates 15Va and 15Va supply voltages for the connected E modules from the 15VMod input voltage using a flyback converter It passes the 15VMod input voltage as a 15VD supply voltage for the connected E modules It has circuit breakers for the VSYS and 15VMod supply voltages The circuit breakers are enabled by the PMC CPU after the main CPU has requested to enable these module voltages The sequencing of the flyback and step down converter is controlled by on board electronics e Overvoltage of the generated supply voltages will disable the VSYS and 15VMod circuit breakers e Anl2C A D converter and I2C temperature sensor measure the supply voltages generated for the E modules and the board temperature The information is communicated to the PMC CPU in the DC DC board over the 12C bus 15Vmod lk ee ee 15Va MODRACK POW EN PETBOUIE 15Va 5Vmod nw BREAKER ba T D25 MODULE BUS CONNECTOR SLOT 1 c O E O m z Z O O a c lt O a x lt f LL m o Z T Ee A D Converter Voltage S 8 ch sul Protection 5Vmod RS485 MODBUS DATA M1058830 002pivot block diagram vsd Figure 7 E module interface board block diagram Recorder assembly The optional recorder assembly consists of a 50 mm recorder and a recorder board The recorder board interfaces the recorder to the module f
84. a limited number of ports on the IX Network See Network security on page 5 for details The following product features contribute to defense against malicious software e System integrity checking The patient monitor performs integrity checking on the root file system to detect any changes to the file system contents Any modification to the root file system contents will generate an error to the patient monitoring software application The patient monitoring software will then display a technical alarm to the user e Device design and configuration hardening The patient monitor has been hardened through the restriction and removal of user access to core operating system functionality In addition unneeded functionality has been removed or restricted Antivirus software To provide seamless real time patient monitoring the patient monitor does not have antivirus software Security updates and patching processes Security updates and patches cannot be applied to the CARESCAPE product without going through GE s vigorous software verification and validation process Any software update needs will be communicated by GE 1 3 2 Security operations Network security GE requires that the MC port of the patient monitor be connected to a physically or virtually dedicated CARESCAPE Network MC or S 5 Network isolated from all other networks GE requires that the IX port of the patient monitor be connected to a physically or virtu
85. aching the back cover 164 Document no M1165897A Disassembly and reassembly Remove the four T10 screws mounting the AC DC board to the back plate Torque 1 6 Nm Hold the AC DC board to prevent it from falling Reassemble in reverse order Connect the cables Attach the screws Torque 1 6 Nm 4 1 pcs Ensure the cable clamp and the spring are in place Insert the left side of the back cover first when connecting Place the AC DC cable in the cable holder 165 Document no M1165897A CARESCAPE Monitor B650 9 3 11 Detaching the Base unit 166 Document no M1165897A Disassemble first 9 3 2 Interface Board 9 3 4 Top Cover 9 3 5 Side Housing Decorations 9 3 5 Rear Unit from the Front Unit 9 4 1 Front Unit Assembly 94 2 LCD Display Unit Disconnect from the CPU board the Sync cable the Loudspeaker cable Disconnect from the DC DC Board the Battery cable Remove the five T10 screws with washer insulators mounting the Base Unit to the mid frame Torque 0 8 Nm Remove the two T10 screws with washer insulators mounting the Base Unit to the mid frame Torque 0 8 Nm Detach the mid frame from the Base Unit by lifting it up carefully Disassembly and reassembly Reassemble in reverse order NOTE Pay attention to the cables when reassembling Check that they go through the right holes in the mid frame w
86. ader Perform this test only if a barcode reader is connected to the patient monitor 1 2 5 Select Data amp Pages gt Admit Discharge or Start End Case Select the Patient tab Scan a test barcode that is applicable to your system 89 Document no M1165897A CARESCAPE Monitor B650 Parser Type Test Procedure Length Delimited or Character 4 Select Scan from Barcode Delimited Parser Scan a known test barcode obtained from the hospital NOTE The barcode data content must be Known and in compliance with the completed parser configuration Verify that the data content in the barcode is correctly populated to the related fields in the Patient and the Administr Information tabs No parser 4 Select Edit Name amp MRN and press Enter to highlight the Medical Record Number field 5 Scan a sample barcode that only contains one piece of information e g a Serial Number barcode from a module s device label 6 Verify that the data is correctly populated into the Medical Record Number field 7 Select Gl to close the open menu and return to the main display 5 3 9 MC Network and S 5 Network Perform the following test only if the patient monitor is connected to a wired MC Network or S 5 Network NOTE Make sure that at least one other patient monitor is on the network The other patient monitor must be in an admitted state and have an active ECG measurement with a simulator signal 1 Check that a netwo
87. after it is submitted 4 3 10 National requirements 68 This Webmin module allows the user to activate France specific defaults for the ECG HR adjustment range and the reminder beep behavior Select the national requirements for the system 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select National Requirements On the National es window select the applicable option None Select the normal defaults Select the normal defaults France Enable the following country specific monitoring Heart Rate high alarm limit maximum 230 Reminder beep will sound every 2 minutes when alarms have been silenced permanently 4 Select Save The national requirements changes take effect immediately Document no M1165897A Configuration 4 3 11 Modules This Webmin module allows the user to configure some acquisition module specific settings These settings are saved to the permanent memory of the related acquisition module and the settings travel with the module from one monitor to another These settings are pre configured at factory except the Assets Settings You may need to re configure them after corrective maintenance or for administration purposes Refer to the Module Frames and Modules Technical Manual for detailed information how to change these settings Assets Settings PDM This setting allows you to
88. al to ensure that the equipment will always be functional when required 1 7 2 Equipment identification Every GE device has a unique serial number for identification A sample of the information found on a serial number label is shown below TYPE p 1 l Su i lI 112008 05 NC v mmm ru TYPE device type e g B650 01 Bo SN serial number e g SEW 1234567890AB The product code for CARESCAPE Monitor B650 is SEW The device plate is located on the rear of the patient monitor 1 8 Unpacking 1 Confirm that the packing box is undamaged If the box is damaged contact the shipper Open the top of the box and carefully unpack all components Confirm that all components are undamaged If any of the components is damaged contact the shipper Confirm that all components are included If any of the components is missing contact your GE Healthcare distributor WARNING EXCESSIVE LEAKAGE CURRENT If the device has been transported or stored outside operating temperature allow it to stabilize back to operating temperature range before applying power 16 Document no M1165897A System overview 2 System overview 2 1 System introduction The CARESCAPE Monitor B650 is a modular monitoring solution for multiple care areas and intrahospital transport within a professional healthcare facility The monitor offers various hardware configurations software opt
89. alled to the appropriate wireless network infrastructure IEEE 802 11b SSID mismatch between patient Enter correct SSID see section monitor and access point 3 2 Security settings mismatch Contact the hospital IT between patient monitor and department for correct security access point settings and then update the e Incorrect or incompatible monitor configuration see confidentiality method section 4 3 2 e Incorrect Pass Key e Check that the used security method is none WEP 64 or WEP 128 e Incorrect key index Select correct confidentiality method Ensure Pass Key used is correct Select correct key index Access control list is in use in the Contact the hospital IT access point The patient monitor department to update the is blocked out access control 144 Document no M1165897A Disassembly and reassembly 9 Disassembly and reassembly 9 1 Disassembly guidelines Field repair of the patient monitor Is limited to replacing Field Replaceable Units FRUs See chapter 10 Service parts for a detailed list of available FRUs Attempting a field repair on a printed circuit board or a factory sealed component or assembly could jeopardize the safe and effective operation of the monitor NOTE Only a qualified service technician should perform field replacement procedures NOTE Perform the checkout procedure described in chapter 7 Maintenance and checkout each time after you have done
90. ally dedicated CARESCAPE Network IX with controlled connection to the organization s general purpose computing network Traffic between the organization s network and IX port of the patient monitor must be limited to the following packet flows listed below Document no M1165897A CARESCAPE Monitor B650 6 Inbound Source device Destination device Destination port CARESCAPE Monitor B650 Customer tcp 10001 Software defined transfer DHCP server Customer defined Packets that are part of the communication initiated by authorized devices in the organization s network are allowed to go out of the IX Network reflexive Outbound Source device Destination Device Destination port Use us1 ws service gehealthcare tcp 443 InSite with ExC com Web Services rd service 443 om 31 InSite with ExC Remote Tunnel CARESCAPE us1 rd service gehealthcare Monitor B650 c tcp Packets that are part of the communication initiated by the patient monitor are allowed into the IX Network reflexive Wireless Network Security The CARESCAPE Monitor B650 can operate both in the wired and the wireless MC Network or S 5 Network IX Network is wired only Refer to the Wireless LAN Network Installation Guide and S 5 Network Installation Guide for more information regarding the security features of the wireless MC Network and the S 5 Wireless Network respectively Network Identification The Service Set Identifier
91. and GCX mounting plate 25 M1168336 FRU Base Unit for Models w o Battery Includes base unit for non battery model B650 speaker unit sync board unit and GCX mounting plate 178 Document no M1165897A Service parts FRU Item Part FRU Item Description Additional text Number 24 M1168337 FRU Mid Frame Assembly B650 The mid frame assembly includes the 4 mounting brackets for the LCD display and the 7 mounting screws and insulator plates to mount it to the bottom unit 25 M1168356 FRU Battery Bo50 Model Flex 3S3P rechargeable lithium ion battery 26 M1168339 FRU Cable Kit B650 Includes the following parts Hinge flex board with ferrites Display cable with ferrites User interface cable DC DC cable Inverter board cable Speaker unit Sync board unit battery board amp cable 27 M1168340 FRU Plastics Kit B650 Includes the following plastic parts Module frame back plate Right frame housing decoration Left frame housing decoration Top cover Alarm lens Battery door unit Cable clamp for power cord w spring Cover plate for advanced interface board Cover plate for standard interface board 28 M1168541 FRU Hardware Kit B650 The hardware kit includes a complete set of fastening parts screws nuts washers amp plastic PCB mounting parts and the display mounting brackets 29 M1168360 FRU Keypad Touchscreen model Includes the membrane keypad and the keypad Uni
92. arate light sensor that is capable of measuring the ambient light intensity The ambient light feedback can be used to auto adjust the brightness of the keypad backlits alarm light LEDs and the CCFL lamps of the LCD panel to the different ambient light conditions The alarm light board is connected to the user interface board with the alarm light cable Speaker The main speaker is used to provide audible alarms The speaker cable is connected directly to the CPU board The audio signal for the speaker is generated in the CPU board using a tone generator and an audio amplifier Audio feedback controls the operation of the speaker Buzzer The buzzer is connected to the user interface board It functions as a back up speaker and also provides an audible power loss alarm 6 1 5 External Interfaces Interface boards There are two versions of the interface board a Standard Interface Board and an Advanced Interface Board Connector Standard Interface Board Interface Board Advanced Interface Board Interface Board DV 0 zn BASE T Ethernet interface RJ 45 ca oo The interface boards provide the following main functions e They have a high speed USB hub that provides 2 to 4 downstream Type A USB ports for the USB input devices The on board USB hub interfaces with the USB host controller root hub in the CPU board It passes the analog video signals from the video controller in the CPU board to the DVI I con
93. arcode scanner problem Problem Possible cause Recommended action Wrong character is displayed The keyboard locale is not Configure the keyboard locale correctly when a key is pressed on configured correctly see section 4 3 9 keyboard 134 Document no M1165897A Troubleshooting Wrong character is displayed The keyboard locale is not Configure the keyboard locale correctly when a barcode is read configured correctly see section 4 5 9 The barcode reader slanguage Refer to the barcode reader manual configuration is incorrect Barcode reader does not read a Barcode reader parser Configure the barcode settings see multi field barcode correctly configuration is incorrect section 4 3 7 i e the information is not populated correctly to the fields in the Admit menu The barcode reader is Check the barcode information content incompatible with the parser and compare it to the current parser configuration field lenghts field configuration types delimeters symbologies etc Speaker audible alarm issues Problem Possible cause Recommended action Audible alarms do not work Audible alarms are turned off Enable audible alarms See Alarms Setup Audible amp Visual Alarm volume is low Adjust alarm volume Monitor Setup Sound Volumes Speaker failure Replace the speaker unit see section SAL Tone generator or audio Replace CPU board see section 9 3 9 amplifier failur
94. are activation occurred Settings transfer history information including the type of the transferred settings the origin and destination and the date and time the settings transfer occurred Log file transfer history information including the type of log that was transferred the origin and destination and the date and time the log file transfer occurred Webmin related error messages e g information about EPI layer issues detected by Webmin EMBC Frame logs Date and time when the EMBC log was last updated Modbus 0 1 2 and 3 information including the following System information e g Sysinfo packet Log information e g Loginfo packet Module node connection disconnection information e g Module Node Log Module slot information e g addresses and times in the latest modbus frame Modbus frame statistics e g total number of frames number of synchronization errors number of lost frames number of unknown frames 123 Document no M1165897A CARESCAPE Monitor B650 124 PDM log All PDM errors and messages System log OS events and errors including operating system related information such as clinical application startup and recovery information power on self test results etc WLAN errors and events InSite with ExC events and errors including InSite with ExC agent related information Clinical log Clinical related application events including module parameter connections disc
95. ber select Software Package and Host Licensing If you have a license file select Upload License The wrong software application The wrong software application 1 To view the software package that is is displayed on the patient is activated for the device currently activated log onto Webmin monitor Configuration Licenses Host Licensing Make sure that the desired software application is displayed under Currently Active Software Package If you need to activate a different software package access Configuration Licenses Software Package Select the correct option and select Activate 156 Document no M1165897A Troubleshooting 8 6 5 Recorder issues Problem Possible cause Recommended action Recorder does not work Graph location is not Check the configuration Monitor Setup gt configured correctly Printing gt Devices gt Setup Recorder board failure Check the status of the 5 V REC and 12 V REC voltages see section 8 3 1 Hardware Statistics If one of these above voltages is out of spec but the 12 V exists in the DC DC board the recorder board is most likely defective Replace the recorder unit Recorder failure Replace the recorder unit CPU board failure The serial communication for the recorder is managed by the EMBC section of the CPU board Check EMBC Frame logs for possible EMBC failures see section 8 3 4 If the cause is none of the above the problem i
96. ble NOTE Always order the front unit assembly FRU always with a new language specific keypad 13 M1178221 FRU User Interface Board B650 Includes user interface board user interface cable and 2 mounting screws with PCB fastening parts 14 M1178254 FRU Trim Knob and Trim Knob Encoder Includes the grey trim knob trim knob encoder B650 w cable and mounting parts nut and washer 15 M1168227 FRU LCD Display Unit B650 Includes LCD display with CCFL lamps and 4 mounting screws 16 M1168228 FRU Backlight Inverter Board B650 Includes backlight inverter board inverter cable and 2 mounting screws with PCB fastening parts 17 M1168229 FRU WLAN Assembly B650 Includes radio card with antenna cables antenna boards and mounting tapes 18 M1168230 FRU DC DC Board for Battery Model Includes DC DC board for battery models with B650 mounting screws No cables 19 M1168232 FRU DC DC Board for Models w o Includes DC DC board for non battery models Battery B650 with mounting screws No cables 20 M1168233 FRU CPU Board w o uDOM B650 Includes CPU timekeeper battery CR 1632 and 9 mounting screws Excludes the USB Disk on Module uDOM with software and all cables 21 M1168550 FRU CPU Timekeeper Battery 5 pcs CR 1632 lithium battery B650 22 M1168312 FRU Base Unit for Battery Model B650 Includes base unit for battery model battery door battery board battery cable speaker unit sync board unit
97. c Non Real time Clinical Traffic Non Real time Non Clinical Traffic 56 Document no M1165897A WLAN Multimedia WMM provide basic Quality of Service QoS features to IEEE802 11 networks by prioritizing wireless network traffic according to four Access Categories AC voice video best effort and background Use the default WMM AC parameter values unless otherwise specified in the wireless network design Valid values CWmin 3 1023 CWmax 7 1023 AIFS 0 20 TXOP 0 655356 NOTE The WMM AC parameters are configurable only if the QoS Selection was selected as WMM NOTE This option is not configurable in S 5 Wireless Network Valid DSCP ranges Real Time Clinical Data 32 47 Waveforms Parameters etc Non Real time Clinical Data 0 7 Trends Full Disclosure Printing etc Non Real time Non Clinical Data 8 23 InSite Service traffic etc DSCP Differentiated Services Code Point settings provide Quality of Service QoS features by prioritizing network traffic by traffic type It uses traffic classification by placing each data packet into a limited number of traffic classes Use the default DSCP values unless otherwise specified in the wireless network design Note For Non Real Time Clinical Data traffic on wireless do not use DSCP values of 24 31 A risk exists that Real Time Clinical Data and Non Real Time Clinical Data will arrive at the same QoS value in the wired network if proper DSCP t
98. c teeing amp RecA pr ing ceo ae LA T E tS eae 51 dr MAU No TC 53 RN a A a dnd tva diste tds diente due indue Sekine 58 43A AOI Ce CVO e tae slats Ree oe Uri ER ese ces 59 d Ma OE Ree Te oN rer A EE 59 2505 MEUSE 17 EE EE OEE EEE E AAA S OAT E UD EE 60 A OCS eN Se esce ott a N E r eRe 61 259r 399 Er EGUEN Vead auod dedit cng uei PR ee A RAAE ENA AA EAA 68 AS ONU NORTE TECTA TOT DU TITULI 68 2 5 TO NG OMG SITIS Sca a cogida arresta 68 Be Ws LOTO E SERRE id eo TEUER 69 4 5 12 TWOSUOSSE SUNOS oeste ma ad 69 Bh DS POSS ORC Sit otter ce erste a eee xs hey a E a A nana PET D 70 AD IA Remote Se VIC Ors daa Ei ii 70 4 4 Transferring AN o S sa scade tdt DR Ord bun decane deeb cies Meg erbe obe dta dd 12 AUT O A bcn ans mats TR E Pd 73 MAP WOAC SC MI OR TET TERT TOTIS TERES 13 Document no M1165897A 4 5 4 6 4 4 3 Activate settings qd ep t toda ba Eel t don cones Map NA ode bb Td edidit bos deu 45 1 Enable software package 0 cece eee eee 2 5 27 A AS A e ERE duo UAE 453 UDIOdAa CI Se lastre us ep eds oes SoftWare mandos nen lire onic Fee aret blo aret eda Installation checkout s Mi 5 2 5 5 VIS A ater tu eda cats edd S Petri Electric dl saleb tests oc oerte Eve teu Ue Beene SS O MT RA A A 523 Powercordand PIO suspicacia irritada 5 2 4 Ground earth IDEeOFIBU cx cuoi di ted 5 2 5 Earth leakage current AA seo Unde nib t 5 2 6 Enclosure leakage current touch current test 5 2 7 Patient leakage current tests
99. cal Traffic Non Realtime Clinical Traffic Non Realtime Non Clinical Traffic SSID i e Service Set Identifier network name Security status Authentication method i e open Confidentiality method i e None WEP 64 WEP 128 WPA PSK TKIP WPA2 PSK AES CCMP Used Key Index if WEP 64 or WEP 128 is used RF readings from the WLAN radio Operating channel Transmit rate in Mbps Transmit power in mW Signal level RSSI in dBm Noise floor in dBm Signal to Noise Ratio SNR in dB 121 Document no M1165897A CARESCAPE Monitor B650 Log WLAN status Detected access points 122 Document no M1165897A e The current Association Authentication status of the WLAN Radio Association Description of the state Authentication state Disconnected The WLAN client radio is not authenticated or associated to any network infrastructure Authenticating The network infrastructure is authenticating the WLAN client radio Authenticated The WLAN client radio is authenticated but not yet associated to the network infrastructure Associating The WLAN client radio is in the process of associating to the network infrastructure Connected The WLAN client radio is connected to the network infrastructure and data is now being transmitted Associated AP BSSID i e the MAC Address of associated Access Point WLAN Radio transmission information Packets received Packets transmitted Bytes received
100. cation Remote Service Proxy URL Proxy port Proxy username Remote service status System ID Serial number Enterprises URL Enterprises tunnel URL and Protocol Language Clinical user interface language National Requirement Setting for country specific alarms None or France Network Active configuration information including MAC address MC Network type IP address Netmask Gateway Destination IP address Destination netmask and PHY configuration and IX Network type IP address Netmask Gateway DNS server 1 DNS server 2 and PHY configuration Power Line Frequency Current power line frequency setting in use MUSE 12SL Location ID Site number MUSE web username and MUSE web URL WLAN Wireless LAN configuration information including WLAN radio status Antenna Diversity Frequency Band RTS Threshold Fragmentation Threshold Applied QoS Standard WMM AC Parameters for Voice Video Best Effort and Background DSCP Settings for Realtime Clinical Traffic Non Realtime Clinical Traffic and Non Realtime Non Clinical Traffic SSID Authentication method Confidentiality method and Key Index 8 2 2 Device information The Device Information module shows the hardware and software information of the patient monitor and the connected peripheral devices To view Device information 1 2 3 4 Log on to the Webmin application Select the Information tab Select Device Information Scroll down the
101. ck that the battery cable is intact and properly connected to the DC DC board Failure to turn on the patient The cable between user Checkthat the cable is intact and properly monitor when the following interface board and CPU connected to the user interface board and the CPU conditions apply board is loose or defective board The patient monitor is Reconnect the cable if loose powered up either from Replace the user interface cable if the cable is the AC mains or the defective battery merdon endo The keypad is defective Replace the keypad see section 9 4 6 button LED in the DC DC The user interface board is Replace the user interface board 9 4 4 board is not lit when you defective press the on standby DC DC Board failure Replace the DC DC board see section 9 3 8 button to start the monitor see section CPU failure The on standby signal is routed through the CPU TRA T board so there is a minor possibility that the CPU is defective if all the other things seems to work but you are not able to start the monitor neither from the on standby button or the remote on connector 132 Document no M1165897A Troubleshooting Problem Possible causes Recommended actions Failure to turn on the patient Defective DC DC board monitor Failure to turn on the patient monitor Failure to turn on the patient monitor supply the 12V for the backlight inverter board The moni
102. connector Marker Out frequency Digital defibrillator synchronization marker out signal Black Common GND Red Probe Type x10 Time Division 200 mS Volts Division 2V DEFIB Sync connector Marker Out pulse width Digital defibrillator synchronization marker out signal Black Common GND Red Probe Type x10 Time Division 5 mS Volts Division 2V AL Pl Select Discharge patient or Reset case to discard any changes made to the monitor configuration during checkout 7 3 15 Verification of the active software version Verify that the software version you activated in the section 4 6 Software management or after uDOM replacement is now active 1 Log onto the Webmin service interface 2 Select Configuration gt Software Management The Software Management window displays 3 Select the software to verify Host Software Monitor software PDM Software PDM module software 4 Verify that the active software verson is correct 7 4 Monitor battery maintenance The lithium ion Li Ion battery is a rechargeable battery containing lithium ion cells Each battery contains an integrated electronic fuel gauge and a safety protection circuit The following are facts about lithium ion battery technology The battery discharges on its own even when it is not installed in the equipment This discharge is the result of the lithium ion cells and the bias current required for the integrated electronics The
103. contents lii Document no M1165897A CARESCAPE Monitor B650 155 HRS PO Westen 2 dart ees nated bak Seu LIP MU A LUE AL EE 107 1 54 ESO CUI MCG iret c II dide pd bait t e eia att ota 107 155 Keypad and remoti eos e mertentuse eS Instente aedes inatdniunte EROR EEE TEKEE TON 108 WoO IOUS MP p DR 108 eS Alphanumernie IS DOG Cl s Los ood nent toutes Bie dont us bee Rd Goer 108 Toe 0 ge OO S TODOS es alta the saec xtd cest EE ELI set Rae eee eae EE 108 15 9 MC Networkand SS NSW K ss ceci beh ee e RB od B URS n bed 108 AM ele AN RNC 108 Peo Al EE Ee A ttem tu A Aone ae e E 108 Go Me WS OYUN ints ee tee ETT eas TT TI TT DIMUS 108 RES EAS ee ange een ROI A a 108 7 3 14 Synchronization connector OS as ot cee acc tenes tiro Aue ue one Raed 109 7 3 15 Verification of the active software version 0 cece ee TI 7 4 Monitor battery maintenance uocis eset erbe er v erba ve eed dud qii 111 TEAM VANS COCO MMC IC CUO Men erenn a Ad tains a onan Act ete 112 LAL StorgdgetecomiesidagduokiSs asus otdbt toa ero ous aie Peete Meee t CIN 112 7 4 3 Testthe battery CHONG icant atte acts eects ocio dica ater DE 112 Pe le rar la a EI ENT E EET T 112 TO Gong te DON SQL ua naea naa aa e a T dro antt abd Rt 112 ARO Replace the D ESL error dert emeret ea ray ee toed esse eared do sao 113 8 Troubleshooting 115 A lo ASP E E t oes 115 82 Webmin Moman O eea a oup Cem e e o EPIO ds 116 8 2 1 Configuration IIO UO Else duce acess gi Bat Aoi
104. creen Includes the membrane keypad and the model CS B650 language specific keypad panel 14 keys 40 M1178188 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model DE B650 language specific keypad panel 14 keys 41 M1178190 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model HU B650 language specific keypad panel 14 keys 42 M1178192 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model IT B650 language specific keypad panel 14 keys 43 M1178193 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model NO B650 language specific keypad panel 14 keys 44 M1178195 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model PL B650 language specific keypad panel 14 keys 45 M1178196 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model RU B650 language specific keypad panel 14 keys 46 M1178200 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model JA B650 language specific keypad panel 14 keys 47 M1178202 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model ZH B650 language specific keypad panel 14 keys 180 Document no M1165897A ElectroMagnetic Compatibility APPENDIX A ElectroMagnetic Compatibility Table 1 Guidance and manufacturer s declaration electromagnetic emissions Guidance and manufacturer s declaration electromagnetic
105. ct the USB storage device until saving is complete 4 4 2 Load settings Load the saved platform and or clinical settings from an external device to the patient monitor NOTE The loaded settings will remain in an inactive state in the monitor until they are purposely activated by the user see section 4 4 3 Activate settings 1 pe PO If you have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Settings In the Sub Modules for Settings menu select Load If you are using Webmin from a service PC you can load the settings file to any mass storage device connected to the service PC nthe Load Settings window enter the file name or click on Browse to select a file from the Choose file dialog box Select Upload to load the settings locally through the integrated browser you can load the settings file to a USB flash drive that is connected to one of the patient monitor s USB ports The Load Settings window will show you the available settings files Select the setting file to be loaded Select Load Settings to load the selected settings file from the USB flash drive NOTE Do not disconnect the USB storage device until loading is complete 73 Document no M1165897A CARESCAPE Monitor B650 4 4 5 Activate settings NOTE To activate settings the patient monitor must be in a discharged state Before a
106. ctivating settings verify that the patient is discharged from the patient monitor NOTE Activation of the cloned platform settings will leave the following settings in the target patient monitor unaffected MC Network IP addresses and net mask IX Network IP addresses and net mask S 5 Virtual ID host serial number software packages and host licenses Remember to configure these unaffected settings manually in the target monitor NOTE Activation of the factory defaults will leave the following settings in the target patient monitor unaffected host serial number software packages and host licenses 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Settings 3 Inthe Sub Modules for Settings menu select Activate 4 nthe Activate Settings window select the settings that you want to activate Select the settings that are to be activated CO Cloned settings clinical and platformi O Cloned clinical settings O Cloned platform settings O Factory default settings Activate A Select Cloned platform and or clinical settings if you want to activate the settings you loaded from an external device to the patient monitor Select Factory default settings if you want to restore all platform and clinical settings back to the factory defaults NOTE When the Factory default settings are activated monitors configured for t
107. cument no M1165897A Hardware installation Interface board connectors Advanced Interface Board N o mm00000 a O o 00000000 O H 0 00000000 Standard Interface Board 1 USB ports 2 or 4 pcs USB 2 0 Type A connectors 2 DVI I connector for a secondary display 3 ePort connector for PDM module 4 Network connector for the MC Network amp S 5 Network 5 Network connector for the Unity Network Interface Device ID connectivity device 6 Notin use 7 Network connector for the IX Network 8 Remote on connector 3 3 Hardware installation 3 3 1 Installing a battery into the patient monitor and the PDM module The batteries for the patient monitor and the PDM module if included are shipped separately and need to be installed and fully charged prior to taking into use WARNING PHYSICAL INJURY Make sure the battery is completely inserted and the battery door is completely closed Falling batteries could seriously or fatally injure neonatal or other vulnerable patients WARNING EXPLOSION OR FIRE Using non recommended batteries could result in injury burns to the patients or users Only use batteries recommended or manufactured by G
108. d 1 6 User interface symbols NOTE The following symbols appear in the software user interface Active audio alarms paused indicator Indicates an active audio alarm is temporarily paused For more information refer to the Alarms chapter in User s Manual A Alarm off indicator Indicates the alarm is disabled turned off A B Alarm priority indicator High red Indicates a high priority alarm Alarm priority indicator Medium yellow Indicates a medium priority alarm Alarm priority indicator Low blue Indicates a low priority alarm 13 Document no M1165897A CARESCAPE Monitor B650 Alarm volume icon Adjust the minimum alarm tone volume Audio alarms off indicator Indicates the specified alarm group ALL APN APN ECG or ECG audio alarms are turned off Audio alarms paused indicator Indicates all audio alarms are paused and the amount of time remaining for the alarm pause period displays as a countdown timer alarm behaviors depending whether alarms are active and or latched or not Reminder volume icon Adjust the volume of the tone that sounds every two minutes when audio alarms are turned off Touch volume icon Adjust the volume of the tone that sounds when a user touches a touchscreen display Pause audio alarms icon Selecting this option results in different silence Home icon Close all menus applications displayed on the monitor Locking setting indicator Indicates this sett
109. d S 5 Upgrade Network After replacing or upgrading NO 7 3 1 Start up Wireless LAN FRU Upgrade 7 3 10 Wireless LAN 105 Document no M1165897A CARESCAPE Monitor B650 Required checkout procedure Visual inspections section 7 1 Performed service activity After replacing Mains Fuses FRU Battery FRU After detaching or replacing Front Unit Assembly FRU User Interface Board FRU Trim Knob and Trim Knob Encoder FRU Keypad FRU After detaching or replacing LCD Display Unit FRU Backlight Inverter Board FRU After detaching or replacing Rear Unit Assembly FRU AC DC Power Supply Unit FRU DC DC board FRU CPU timekeeper battery FRU Hinge Flex Board After replacing UDOM After installing software After detaching or replacing Base Unit Mid Frame Assembly FRU CPU board Planned maintenance Functional check section 7 3 7 3 1 Start up 7 3 1 Start up 7 3 5 Keypad and remote 7 3 1 Start up 7 3 2 Display 7 3 3 PSM PDM test All steps except 7 3 14 Synchronization connector test and 7 3 15 Verification of the active software version All steps except 7 3 14 Synchronization connector test All steps except 7 3 15 Verification of the active software version Service personnel shall perform the following checkout procedure every 12 months after installation 1 Visual inspection section 7 1 2 Electrical safety tests section 7 2 3 Functional chec
110. d name shall be unique to each monitor in the same care unit NOTE Unit and bed name selections are not available if network selection is S 5 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Unit and Bed Name 5 Onthe Unit and Bed Name Configuration window view or set the unit name and bed name for the device NOTE Use only capital letters A Z numbers dash and space The unit name may be up to seven characters long and bed name up to five characters long 4 Select Save The unit and bed name configuration takes effect immediately 4 5 5 Printers This Webmin module allows the user to configure the patient monitor to print to up to 12 laser printers connected on the IX Network There are sub modules for installing a printer deleting a printer and for printing a test page NOTE Ensure that you have the host name s or IP address es for all the connected IX printers available Configure the IX printers according to this information NOTE Laser printers that are installed on central stations do not need to be configured using Webmin Refer to the user s manual for details on configuring the printer NOTE This Webmin module is available only if the monitor is equipped with the Advanced Interface Board that provides both the MC and the IX Network interfaces NOTE Refer to the CARESCAPE Monitor B650 Supplemen
111. ded for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the CARESCAPE Monitor B650 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the CARESCAPE Monitor B650 as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance according to frequency of transmitter output power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 1 Impedance respiration measurement is inherently very sensitive as it measures very small physiologic signals 2 EEG measurement is inherently very sensitive as it measures very small physiologic signals 5 BIS measurement based on measuring the EEG signal is inherently very sensitive A 4 4
112. e 8 6 3 Incorrect system time System time is incorrect when CPU battery empty Replace CPU battery see section 9 5 7 monitor is not connected to network Time not configured properly Configure date and time see section A55 System time is incorrect when Network device time See caution on section 4 3 3 monitor is not connected to MC synchronization error Network System time is incorrect when iCentral time incorrect Configure iCentral time master monitor is not connected to S 5 network 135 Document no M1165897A CARESCAPE Monitor B650 8 6 4 License issues Problem Possible cause Recommended action Unable to perform a function or A license has not been See section 4 5 a feature Is not available purchased for the feature The trial license has expired for the feature The license is not installed properly Unable to view a certain feature The software package in use Log onto Webmin Configuration although the license is enabled does not include the feature in Licenses Software Package question For example Select the correct option and select Anesthetic agent measurement Activate is not supported by ICU software package Unable to upload a license file The license file is corrupted Log onto Webmin gt Configuration gt The license file is for a patient Licenses monitor with a different serial If you have printed license information num
113. e j9ul9uj3 eun sjeubis S9vIf dOO a 2 xX Z294 O8WNW3 6INHV 9 4 uonoeuuoo DVIA O OVIA 3eu19u13 OOL OL MIN 2 3 ee D _ OXY LY3S 8 OXL 13S 1998 NE E c NE E 1N3S3Hd 938 pod jeues aJm z T ACeS AQV3 Dd 8LLOSOSPLV enog xg J98v Xe fama Lasa bay voOoOS pwy AET E siajnq HSV14 1008 SETA S8y SH aona shaaon WSd sngaow SQ31 AH3LIVg MOd EA NE E Im 99M 0 J amp LI9S 9JIM p x 98 SIMIO 4 550 esos sen m al sn e 20 9 9AI929 Y JLUSUBI a 3 qPON Xe ev8 8d0 9 5 1 2seg001 01 9 ETE Ol 994 eoepejur jeujeur3 001 01 TIN eun g preoqogwWa uo pode 0 jussu a5 o cica zo SOS pieoaken Oll OIQW O2QN g SASA 3 B mS c OIQW OQN O I GOWASI O z amp HONMIOVS NI Ol AZL e o NOLING AgLS NO AY dd Ol S NE e b E Oel ONd A EN m AG ad oianv jdnajeju ZI 1858 Xu VINE E z OLY 971 9 XZ OWd AE AlWad 1dn a u go casn SASA sjojuoo 498 O1JUOD foule GOWASL x 0Lz80dW rere o AS sjoajes diu 8 AS 3 3 d zeq sZ9lLdqN NE E o 9 SJ9jni ASI use 4 Jejnpo AG Gd o assn 1 is EM Lc NOoaiowsu Q Q 8 AXU ZHASWS AXL zuasWs y ONd Wosd AXL 8 9Wd OL Qxe U 5 8 m Mq vp9 ZHIN 00L CONS pod eles SIm z T 00261 LLAI 1ueujeDeueu Jewog O E E c AG et E eoepolul NOLLNG ASLS NO 8 i Ag e nq x LAG EE snq x09 S037 AYLIVE MOd a A8 L sasn sanas oed ACE Verezl sz INCE9LLSS TM LHOlDIOVS NI JOojoeuuoo diuo nd O I SSANLHOIME pape 19 91 GW 9L Jgq p9 GW ZLS MO AMALIE TENUES INVMOIS 8 Awad ziX HSV14 1008 UA SODO
114. e DC DC Board 3 Remove the three T10 screws that hold the DC DC Board to the mid frame 4 Disconnect the DC DC Board from the CPU board connector 5 Detach the DC DC Board a A 3111 E RCHECPHEE EE Cig COCO M y CERETTA Bic dh HE CEATITTITRTTTITITIT so n E Backlight Mable i r Lid z a pa EE d 2 m y A H p io r a a ka When reassembling Assemble the CPU Board first if detached i FA o sain A EK a Bobe Td 5 4 e Connect the Battery cable LE a tes ee ee I E E siih pii Ton ENS Slide the DC DC board to connect the CPU al l ll aa al ev VH connector NOTE Do not bend the DC DC board when ZE reassembling n m E MENOR Connect the Inverter cable and the three T10 E ra I D sensi mee screws Torque 0 8 Nm Reassemble the Rear Unit and the Front Unit in reverse order 162 Document no M1165897A Disassembly and reassembly 9 3 9 Detaching the CPU Board 1 Disassemble the Frame into Front Unit and Rear Unit see section 9 5 5 2 Detach the DC DC Board see section 9 3 8 3 Detach the WLAN card from the CPU if installed NOTE Be careful not to damage the antenna cables 4 Detach the uDOM IMPORTANT Detach the original uDOM and attach it to the new CPU Board The software licenses and clinical and service configurations are stored in the uDOM MILTETMITTE
115. e and current time The temporary patient ID prefix is a hospital defined prefix that is used as the first two characters in a temporary patient ID to ensure its uniqueness inside the hospital 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 61 Document no M1165897A CARESCAPE Monitor B650 2 Onthe Configuration tab select Admit Settings 3 Onthe Sub Modules for Admit Settings menu select Patient ID Prefix 4 On the Patient ID Prefix window enter a 2 character prefix NOTE Valid values are uppercase letters and numbers 5 Select Save All changes take effect immediately Barcode settings Barcode settings must be configured if a barcode reader is used to input patient data to the Admit Discharge menu NOTE Acquire detailed specification of the character delimited or the length delimited multi field barcode that the hospital uses This will configure the barcode parser correctly NOTE Acquire sample barcodes if possible to verify the operation of the parser configuration NOTE For details on barcode data requirements and restrictions see Barcode data specifications on page 66 1 Select the parser type d Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab b On the Configuration tab select Admit Settings On the Sub Modules for Admit Settings menu
116. e 0 8 m NOTE Be careful not to break the PDM docking mechanism Consider detaching it according to section 9 2 3 Set the rear side of the Main Unit facing you Remove the three T10 screws from the left side Torque 0 8 Nm Remove the two T10 screws from the right side next to the Module Frame hinges Torque 0 8 Nm Detach the Module Frame back plate and disconnect the Hinge Flex Board from the Module Frame connectors see section 9 2 5 NOTE Handle the Hinge Flex Board with care when disconnected Do not twist it or bend it down 7 8 Carefully lead the Hinge Flex Board through the opening and turn the Module Frame against the main unit Pull the Front Unit away from the rear unit just enough to be able to detach the AC DC cable from the DC DC Board NOTE When reassembling check that the cable is connected properly 159 Document no M1165897A CARESCAPE Monitor B650 160 Document no M1165897A 9 Detach the rear unit from the Front Unit Reassemble in reverse order NOTE The Front Unit is unstable when detached from the Rear Unit and may easily tilt forward A Shock hazard Dangerous voltage Disassembly and reassembly 9 3 6 Detaching the uDOM 1 Disassemble the frame into Front Unit and Rear Unit see section 9 3 5 2 Detach the uDOM from the CPU connector NOTE uDOM disk on module is the permanent memory of the patient monitor The software licenses and cli
117. e Configuration tab 2 Onthe Configuration tab select Host Asset Settings 69 Document no M1165897A CARESCAPE Monitor B650 3 Inthe Host Asset Settings window enter the user assigned host asset number up to 32 characters long in the Change Value to column 4 Select Save The host asset changes take effect immediately 4 3 13 Passwords WARNING This Webmin module allows the user to change the passwords for the biomed and clinical users Control of this user s password is critical to ensure that Webmin on this device is accessed only by trained and authorized personnel Failure to limit access of Webmin to trained and authorized personnel only may compromise patient safety and or system performance NOTE Username and password are case sensitive The allowed characters for biomed and clinical passwords are alpha A Z a z numeric 0 9 and space The length of the password is minimum 8 characters up to 16 characters NOTE The user name biomed is common for the Webmin and Service Calibrations login screens A change to the biomed password will affect both service interfaces 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Passwords 3 Inthe Edit User Password window change the biomed or clinical user s password as required 4 Select Save The change will take effect immediately
118. e count The total count of charging and discharging cycles of the battery Voltage V Battery voltage Current mA Battery current Positive when charging negative when discharging Temperature C or F Battery temperature NOTE Also refer to section 1 6 User interface symbols and section 3 2 1 Front view to see information about the battery symbols displayed in the user interface and the front panel battery LEDs NOTE Refer to the Module Frames and Modules Technical Manual for more information about PDM battery 8 5 Error messages and codes 128 The following error messages display in the message field if there is a problem with the monitor Refer to User s Manual section System messages for a complete list of messages Message Possible causes Possible solutions solutions License expired A trial license has expired a IA the license with a new activation code if needed Configuration Pending configuration Power cycle the patient monitor changes Restart changes to platform settings required that require monitor restart Network down No other network device Verify that the patient monitor is observed on the MC Network connected to an active network Identical unit amp bed A patient monitor with the Disconnect the patient monitor that name noticed identical unit and bed name is has the identical unit and bed name on the network or Change the unit and bed name of the duplicate pa
119. e integrated browser on the patient monitor section 4 2 1 Local access to Webmin using the integrated browser on the patient monitor The other way to access Webmin locally is from a configured service PC that is connected to the patient monitor with an Ethernet crossover cable Depending on the monitor hardware configuration the crossover cable is connected either to the IX connector section 4 2 2 Local access to Webmin with a service PC connected to the IX connector or to the MC connector section 4 2 5 Local access to Webmin with a service PC connected to the MC connector Remote Webmin The user can access Webmin remotely from a configured service PC that is connected to the patient monitor over the IX Network section 4 2 4 Remote access to Webmin using a service PC over the IX Network Requirements for service PC Network board with Ethernet port and TCP IP network installed Internet Explorer V5 5 SP2 or later 4 2 1 Local access to Webmin using the integrated browser on the patient monitor NOTE A USB keyboard and mouse are needed to access the integrated Webmin browser 1 Select Monitor Setup gt Service The local browser opens and displays the Login to Webmin dialog box 44 Document no M1165897A Configuration You must enter a username and paseword to login to the Webmin server on localhost Username Password Login clear Host Serial Number EEDORSSAOOSOGP Host Software Versio
120. e is properly adjusted 9 1 3 Required tools WARNING insulated crosshead screwdriver insulated Torx T10 screwdriver insulated flat blade screwdriver width 2 5 mm 0 1 in board removal tool or pliers antistatic ESD wristband spanner size 8 mm spanner size 11 mm Due to possible high voltage present use an insulated screwdriver at all times 9 1 4 Before disassembly WARNING WARNING 146 PATIENT MONITORING INTERRUPTION Make sure a patient is not being monitored DISCONNECTION FROM MAINS When disconnecting the system from the power line remove the plug from the wall outlet first Then you may disconnect the power cord from the device If you do not observe this sequence there is a risk of coming into contact with line voltage by inserting metal objects such as the pins of leadwires into the sockets of the power cord by mistake 1 Turn the monitor off from the On standby button 2 Disconnect the monitor power cord first from the wall outlet and then from the monitor 3 Remove the battery Unlock the battery cover by turning the battery cover lock 90 clockwise and pull the battery out 4 Disconnect all external cables connected to the monitor 5 Detach all parameter modules from the Module Frame Document no M1165897A Disassembly and reassembly 6 Detach the monitor from the mount if installed NOTE If you disconnect the monitor from the AC power source and remove the ba
121. e issues Possible cause Recommended action Incompatible module Refer to the CARESCAPE Monitor B650 Supplemental Information Manual document to see the list of compatible modules DC DC board failure The supply voltages for the E module interface board are generated in the DC DC board Check that these supply voltages are within specs see section 8 5 1 Hardware statistics VSYS voltage mV 15V MOD voltage mV If any of the output voltages are out of spec the problem is most likely in the DC DC board Replace the DC DC board The hinge flex board is loose or Check that the hinge flex board is intact and properly connected to the CPU defective board and to the E module Interface board E Module interface board failure The E module interface board creates the supply voltages 15 VD 15 Va 15Va and 5 Vmod for the connected E modules Replace E module interface board if suspected defective see section Oem CPU board failure The RS 485 communication for the E modules is managed by the EMBC section of the CPU board Check EMBC Frame logs for possible EMBC failures see section 8 3 4 If the cause is none of the above the problem is most likely in the CPU board Replace the CPU board PSM module issues Possible cause Recommended action Pole mount cable loose or Check that the Module Bus Adapter for PSM and the connection cable is defective if the PSM module is intact and properly connec
122. eady done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select WLAN The current WLAN configuration is shown in the Present Configuration table 3 Select Enable to enable the WLAN radio NOTE If the WLAN radio is disabled the WLAN radio is turned off 4 Select Antenna as Enabled to enable both the internal antennas NOTE Antenna diversity is a method used to assist in compensating for multipath interference When set to Enabled Antenna Diversity monitors the signal from each antenna and automatically switches to the one with the better signal 55 Document no M1165897A CARESCAPE Monitor B650 Configure the appropriate WLAN settings Note that the configurable attributes and available values are different for MC Network and S 5 Network WLAN Configuration 25 ju ro D ws 5 p HGEHClinical 54 Document no M1165897A Configuration fem egin mms Frequency Band Select the frequency band to be used with the WLAN radio 2 4 GHz 5 1GHz All Band 2 4 GHz amp 5 1 GHz RTS Threshold Configure the RTS Threshold value Fragmentation Threshold Configure the Fragmentation Threshold value Select the Quality of Service QoS standard used in the wireless infrastructure to prioritize the network traffic QoS Configuration None no QoS in use WMM WLAN Multimedia in use The WLAN radio is capable
123. econdary display will not sound the audible alarms To prevent liquids from entering the display do not tilt the display more than 15 degrees Use only manufacturer approved mounts NOTE Refer to the CARESCAPE Monitor B650 Supplemental Information Manual for a list of compatible secondary displays NOTE Refer to the display s user manual for more information about the display installation NOTE Ensure that the display is installed to the mounting hardware according to the installation instructions included with the mounting hardware NOTE Be sure that all cables are securely connected NOTE Refer to section 4 1 2 for information about touchscreen calibration and display adjustments NOTE All installations should be compliant with IEC 60601 1 1 and local electrical codes NOTE The patient monitor with a non medical grade display which is IEC 950 rated or equivalent meets UL and IEC specifications if a medical grade isolation transformer is used If a non medical grade display is to be used the configuration must meet the IEC 60601 1 1 standard Refer to IEC 60601 1 1 for requirements if using non medical grade displays in the patient environment Connections to D15K and D19KT displays The following instructions describe two methods to connect a D15K or D19KT display as a secondary clone display __ X j l be il F i amp b
124. egrated keypad 5 Trim Knob control 6 Ambient light detector lens 7 Audio alarm paused off area blue 8 Alarm light area blue yellow or red 9 Mains voltage indicator the green LED is lit when the monitor is connected to AC mains 10 Battery use indicator the green LED is lit when the monitor is operating on battery 30 power Document no M1165897A Hardware installation 11 Battery charging failure indicator the orange LED is lit when the monitor battery is charging and flashing in case of battery failure or missing battery 3 2 2 Side views 1 Battery cover lock 2 Battery cover 3 Module slot 4 Defibrillation synchronization connector 5 Release switch for the pivoting module frame 6 Recorder optional NOTE The Defibrillation synchronization connector can be used only with E P RE S TN and E PSM P modules PDM module has its own defibrillation synchronization connector 31 Document no M1165897A CARESCAPE Monitor B650 3 2 5 Rearview 1 2 3 4 5 6 7 8 32 Bu 1 mmm ttti Power LEDs for troubleshooting see details in section 8 4 1 Power management LEDs Cable clamp for power cord Equipotential connector Receptacle for power cord and fuse holder Device label Slide mount with connector for PDM Slide mount with connector for PSM Advanced Interface Board or Standard Interface Board see detailed pictures below Do
125. equirements Check the power outlet being used see section Bae The cable between the Check that the cable is intact and properly AC DC power supply unit connected to the AC DC power supply unit and the and the DC DC board is DC DC board loose or defective NOTE You can easily check if the cable is properly connected to the DC DC board by detaching the top cover see section 9 3 4 The cable between AC DC Check that the cable is intact and properly power supply unit and AC connected to the AC DC power supply unit and to inlet is defective orloose the AC inlet Ensure the grounding connection is good Reconnect the cable if loose Replace the power supply unit if the cable is defective The AC DC power supply is Replace the AC DC power supply unit see section defective 25407 131 Document no M1165897A CARESCAPE Monitor B650 Problem Possible causes Recommended actions Failure to turn on the patient Battery Empty Check the battery charge status see section monitor when the following 3 3 1 Charge or replace the battery COONS OPDI Battery Failure or missing Check the status of the battery charge failure The monitor is battery battery indicator see section 3 2 1 Depending on the powered and not LED status connected to AC mains Insert a battery None of the power management LEDs are lit Replace the battery see section 8 4 1 Battery cable loose Che
126. er cable between the service PC and the MC connector of the patient monitor NOTE This connection method is available only if the monitor is equipped with the Standard Interface Board that provides only the MC connector and the patient monitor is in a discharged state NOTE Ensure that there is no patient admitted prior to disconnecting the monitor from a live MC or S 5 Network NOTE Normal patient monitoring is disabled in this connection method You must exit the maintenance mode to re enable the normal patient monitoring mode Refer to After completing using Webmin on page 48 1 Connect a service PC to the MC connector on the patient monitor using a crossover cable 46 Document no M1165897A Configuration 2 Select Monitor Setup gt Service calibrations 3 Login with your service username and password and press Enter 4 Record the MC IP Address shown next to the Start Maintenance Mode menu button MC IP Address MC Netmask 5 Select Start Maintenance Mode A screensaver with the text Note Monitor temporarily under maintenance appears on the screen Note Monitor temporarily under maintenance Mc IP Address 172 16 253 253 MC Netmask 255 255 0 0 6 Configure the service PC s IP address and subnet mask to the same network segment with the monitor s MC Network NOTE For more information on how to configure the IP address refer to the PC s documentation 7 Launch a web browser on the service P
127. erify connectivity with a network device on the MC Network and IX Network 1 Logonto Webmin 2 Select Diagnostics Ping 3 Inthe Address to Ping field on the Ping Command window type the IP address of a known device on the network and select ping If you receive a reply then you are able to connect to the device If you do not receive a reply make sure that the patient monitor is connected to an active network 120 Document no M1165897A 8 3 3 WLAN diagnostics Troubleshooting Use this Webmin feature for troubleshooting WLAN related problems This Webmin module provides information about the WLAN driver WLAN status and the detected access points 1 Log onto Webmin 2 Select Diagnostics gt WLAN 3 Scroll down the page to view the following WLAN diagnostics information WLAN Driver WLAN Status Driver API Version Driver Version Firmware Version MAC Address WLAN radio WLAN client IP Address Antenna diversity mode Center frequency i e the current actual center frequency which is associated with the operating channel number used e g in the 2 4 GHz band on channel 6 the displayed frequency should be 2 437 GHz RTS Threshold Fragmentation Threshold Quality of Service Applied QoS standard i e None or WMM QoS parameters CWmin CWmax AIFS and TXOP for each QoS access category Voice Video Best Effort Background The DSCP settings for network traffic types Realtime Clini
128. erter Board Remove the two screws T10 and PCB mounting parts holding the Backlight Inverter Board to the mid frame and detach the board Reassemble in reverse order NOTE lt Note the alignment pin to set the Backlight Inverter board in the right place NOTE The Backlight Inverter Board FRU includes the inverter cable Preferably use the original inverter cable if it seems to be visually undamaged In case you need to replace the inverter cable you need to additionally detach the rear unit assembly to get access to the DC DC board and be able to connect the inverter cable to the DC DC board 170 Document no M1165897A 9 4 4 Replacing the User Interface Board Ul cable board cable 4 Disassembly and reassembly Detach first the Side Housing Decorations 9 3 3 the Top Cover 9 3 4 the WLAN card 9 4 8 Front Unit Assembly 9 4 1 Detach 2 screws and the PCB mounting parts Detach cables from User Interface Board the Alarm Board cable the Trim Knob Encoder cable the Buzzer cable the touchscreen sensor only in touchscreen models Detach the User Interface Board Reassemble in reverse order NOTE When reassembling align the UI board connector to the keypad connector NOTE The User Interface Board FRU includes the UI cable Preferably use the original UI cable If it seems to be visually undamaged In case you need to replace the UI cable you need to additionally de
129. erters and temperature sensors on the other boards of the patient monitor The smart battery charger acts as an SMBus slave device that responds to charging current and charging voltage requests received via SMBus The charging requests are not sent directly by the smart battery but by the PMC CPU which first asks the values from the battery The PMC may reduce or stop charging current if needed from the system point of view i e if system power consumption or temperature would get too high The smart battery is responsible for the charging algorithm and capacity calculation The battery charger has input current HW limit feature In a case where the input current would exceed the limit the charger reduces the output current to keep the input within the limit The AC DC current for the whole system is taken through this current measurement as well This results in the charger reducing its output current if the sum of the charger input current and system current exceeds the input limit The purpose of this is to prevent the AC DC power source from getting overloaded if system power rapidly increases during charging Cooling The patient monitor uses convection cooling The ventilation openings of the device are located in the rear of the monitor and below the keypad The AC DC power supply unit has a u shaped heat sink that is mounted to the aluminum rear unit assembly to enhance cooling of the power supply 95 Document no M1165897A
130. es all modules with prefix E Compact airway modules E CO E COV E COVX E CAIO E CAIOV E CAIOVX Single width airway module E miniC See section E module and PDM module parameters on page 20 for a list of parameters each module measures The CARESCAPE Network MC is referred as MC network and the CARESCAPE Network IX as IX network Menu naming varies within software packages A Admit Discharge is also used in this manual for Start End case menu in OR and PACU software Safety information Responsibility of the manufacturer GE is responsible for the effects of safety reliability and performance only if e Assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by GE e The electrical installation of the relevant room complies with the requirements of the appropriate regulations e The equipment is used in accordance with the instructions for use e The equipment is installed maintained and serviced in accordance with the instructions provided in the related technical manuals Product availability Some of the products mentioned in this manual may not be available in all countries Please consult your local representative for the availability General safety statements See the user s manual for a list of general safety statements This device is intended for use under the direct supervision of a licensed health care practitioner
131. ess of the GE URL backoffice servers required to communicate with the tunneling agent Protocol Identifies the protocol used to This field is read only and communicate with the enterprise servers cannot be changed 5 Select Save The changes will take effect immediately Control After the server has been configured for remote serviceability the remote service agent must be enabled for use 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select Remote Service In the Sub Modules for Remote Service menu select Control Under Remote Service Control in the Remote Service Control window enable or disable the Service Agent by selecting Enable or Disable 5 Select Save The changes will take effect immediately 71 Document no M1165897A CARESCAPE Monitor B650 4 4 Transferring settings This Webmin module allows the user to transfer platform and or clinical settings from one monitor to another to take backup copies of the settings to an external device and to restore the settings from an external device Transferring settings from one patient monitor to the other patient monitors 1 Complete the platform and or clinical configuration in one patient monitor section 4 3 Configuration procedures 2 Save the completed platform and or clinical configuration settings to an external device section 4 4
132. following generic precautions when reassembling the monitor Note the positions of any wires cables or connectors Mark them if necessary to ensure that they are reassembled correctly e Save and set aside all hardware for reassembly GE recommends using the new fasteners screws washers etc provided in the FRU kits rather than reusing the old fasteners Some fasteners are not intended to be re used more than three times Use only new screws attaching into light metal parts Take advantage of existing thread pattern cut by turning the screw counterclockwise until it drops into the existing thread pattern 145 Document no M1165897A CARESCAPE Monitor B650 e We have added the maximum recommended torque value to be used for each screw and nut in reassembly These values are listed in brackets after each disassembly step e When attaching self tapping screws to light metal parts without existing threads new light metal FRU parts you should use a higher torque than is recommended for reassembled parts but still not more than 1 6 Nm NOTE It is not required to a use torque wrench or torque screwdriver when reattaching the monitor using the recommended standard hand tools Just ensure visually that the screws are properly attached but avoid over tightening by using excess force as this may damage the existing thread patterns However when using battery operated tools ensure that it is equipped with torque limiter and the torqu
133. for a length delimited parser refer to Sample length delimited parser information on page 63 1 Onthe Admit Discharge Configuration window enter the location and length information for each data item If an item is not included in the barcode type 0 in the item s Position and Length fields or leave the Position and Length fields blank d Inthe Position column type the beginning position of the field in the data string from 1 to 300 b Inthe Length column type the number of characters from 1 to 99 that the field contains 2 For Gender Format select Fixed or Configured If you select Configured d Type the character that identifies Male b Typethe character that identifies Female Under Fixed Option select the applicable value Item selection on the top part of the Fixed Option selection screen Height Unit Unit Both Height and Height Unit Height and Height Unit Height only Select value from drop down list 4 Scroll to the bottom of the window and select Save All changes take effect immediately Sample length delimited parser information In this example the barcode contains 10 items The following table lists the starting position and length of each item Ww 3 0 9 wm fa E Wee o o e o a o 63 Document no M1165897A CARESCAPE Monitor B650 The following sample shows the corresponding entries on the Admit Discharge Configuration window AdmitiDischarge Configu
134. fy compatibility Verify the connectivity of device interfaces before using the equipment Verify the compatibility of software versions before using the equipment Do not use identical measurement modules or modules that map a measurement to the same channel or parameter window If such modules have been connected remove the module that has been most recently connected You can also remove both modules and re connect the new module after five seconds 3 1 2 Network infrastructure Ensure that the applicable network infrastructure is in place prior to the installation of the patient monitor Acquire the network configuration information from the hospital IT or the related project documentation and installation files MC Network e The MC Network infrastructure shall be installed according to the CARESCAPE Network Configuration Guide e The installation site of the patient monitor shall have a wall jack and a network patch cable for the MC Network Refer to the sections 4 3 1 Network and 4 3 4 Unit and bed name to see the configuration information you need to have available to configure the patient monitor to the MC Network 21 Document no M1165897A CARESCAPE Monitor B650 Wireless MC Network The wireless MC Network infrastructure shall be installed according to the CARESCAPE Wireless Network Configuration Guide Ensure that the wireless coverage area is adequate for the installation Refer to the sect
135. ge A detachable non volatile flash memory USB Disk On Module uDOM is used as the permanent memory for application and service software and to store clinical and platform settings The UDOM may hold two versions of the software in different partitions inactive and active EMBC section The Ethernet module bus controller EMBC section in the CPU board has its own micro controller It has serial flash memory for the EMBC bootloader software NAND flash for EMBC application software and Linux kernel and SDRAM for run time EMBC code execution and temporary data storage The EMBC section communicates with the main processor using Ethernet communication The EMBC section takes care of the following CPU services It provides serial communication for the optional built in recorder It provides RS 485 module bus communication for the E modules and PSM module It provides analog ECG and invasive pressure outputs and a digital marker out signal for a user supplied equipment e g a defibrillator or an intra aortic balloon pump Supply voltages The CPU has converters to generate 1 5 V 1 8 V and 2 5 V supply voltages for the processors and 12 V and 12 V voltages for the sync connector signals from the 3 3 V received from the DC DC board The CPU board passes the supply voltages created by the DC DC board for all other electronics in the system except for the inverter board System supervision Watchdog timers contro
136. gnetic Compatibility Appendix B Installation checkform Appendix C Maintenance checkform li Document no M1165897A A 1 B 1 C 1 Table of contents Table of contents 1 5 Introduction 1 i MAN IO OE d oes ton datan ond omis ovo d etai bend te dst pad 1 LLI Revision NISTON att a DP p A trees E d A iE 1 1 1 2 Indications for use of this dni tt occum di 1 Labs SCHOO DOS Boe don onu ud ot tala ati pentane ed dc uda ek oie a hate 1 FELA o ouden exu asso ndan arr r T EARTE 2 LS Ordera manud esaa memet ER E 2 ELO Related OC NT SIN Ss ec cee acc a eet dia 2 1 1 7 Conventions used in this manual senor ce ue ORE dr seman END conden wets 2 ELS Produc relr A E ET 3 A AO A a a a a DM ME Et EU E 3 1 2 1 Responsibility of the Manta celica canal ia comes is 3 122 Produce acit ebat nido ene Sut aen 3 1 275 G neralsarety statements osse domo etus toto Ee E a OERE 3 1 2 4 Safety message signal wordS us dus a danes 4 Eo Product e AA O IDA ER e a pu PEE 4 e ES E E Cee ESE E EA E SES Kosmas Bhat OE 4 155 2 CUMIN Oe OM Se uote kea E iad tritt tee teens ENE EEEN ele he ann Eae S 1 3 3 Product change Manage MAC direis FER uon 7 L34 o a e AA A aE OS 7 tA ES Sas lanes ne ise AU p der LP wee A NE es 7 ES JBQUIDITebD bbSUITiDOS afa oap dena rra es desti ood SS 8 te Userimtenace a assets neos A sake nde te oa E EC 13 Lee SONCE io o A A r E A O R E EAT E EA 15 LTL Sevic TequitenentS ocio asiaa delta hats T Git Guten ome ddnde 15
137. he 5 lead ECG trunk cable to the green ECG connector in the module 3 Connect the 5 leadwire sets to the trunk cable and to the simulator Procedure 1 Usethe figure and table below as a reference for connecting the oscilloscope to the defibrillator synchronization connector port located on the left side of the patient monitor for performing these tests 109 Document no M1165897A CARESCAPE Monitor B650 GO Defibrallator Syncronization connector in FLEX Analog output Cable 2000633 A Sanal 001 Related wire color in the Digital defibrillator syncronization Black marker out signal Digital defibrillator syncronization Green marker in signal Ems e Brown wire is not connected 2 Testthe ECG Arterial BP and Marker Out signals from the defibrillator synchronization connector port They should closely resemble the waveforms in the figures below DEFIB Sync connector ECG ECG analog output signal Grey Analog GND Blue or White Probe Type x10 Time Division 200 mS Volts Division 0 5V DEFIB Sync connector arterial BP IP analog output signal Yellow Analog GND Blue or White Probe Type x10 Time Division 200 mS Volts Division 0 2V There are two Marker Out traces shown below The upper Marker Out figure references the frequency aspects of the signal The lower Marker Out figure references the pulse width aspects of the signal 110 Document no M1165897A Maintenance and checkout DEFIB Sync
138. he U S will revert to the international factory default settings To reload the U S factory default settings use the U S defaults CD and follow the procedure to Load settings on section 4 4 2 5 Select Activate The changes will take effect after an automatic restart of the patient monitor 4 5 License management This Webmin module allows the user to enable and activate a software package to enable and activate software features and to upload and activate a license file 4 5 1 Enable software package Enter the activation code to enable a software package 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select Licenses 74 Document no M1165897A WARNING Configuration 3 Inthe Sub Modules for Licenses menu select Software Package In the Software Package window select ENABLED from the Status drop down list by the appropriate software package and enter a valid activation code 5 Select Activate 6 Toactivate a software package select the desired radio button in the Active column 7 Select Save All license changes take effect after the next system restart If the software package is changed all clinical settings will reset to factory defaults 4 5 2 Host licensing Enter the activation code to enable a software feature 1 Ifyou have not already done so login to Webmin see section 4 2
139. he current network configuration is shown in the Present Configuration table 3 On the Sub Modules for Network menu select Wired Interfaces Under Select Network Type on the Network Configuration window screen 1 select the applicable network type CARESCAPE Network or S 5 Network 5 Select Next to proceed on network configuration A CARESCAPE Network NOTE When CARESCAPE Network is selected the S 5 Network is disabled The monitor may be configured to the MC Network or IX Network or both Network connection s Steps to be performed MC Network only 1 2 and 5 IX Network only 5 4 and 5 Both MC and IX Network 1 2 5 4 and 5 i a D C On the Network Configuration window screen 2 under MC Network Enter a Static IP address Enter a valid Netmask level Select the applicable Speed amp Duplex option 2 fseparate MC Network segments are connected together by a router configure the router information under the MC static route d Enter Destination Address b Enter Destination Netmask Enter an MC Gateway 3 Under IX Network select DHCP or Manual Configuration If Manual Configuration is selected enter the following information in the entry fields Enter a Static IP address Enter a valid Netmask level Enter a valid Default Gateway Enter valid DNS Server addresses if applicable ch e ea 4 Selectthe applicable Speed amp Duplex option 5 Select Save Document no M1165897A
140. he network set up to allow broadcasts Please verify configuration settings with the hospital s IT department Can you ping other CIC Pro centers or patient monitors from the CIC Pro center yes Check IP addresses on the patient monitor Are the patient monitor and the CIC Pro center on the same network No traffic is making it through no Please verify configuration settings with the hospital s IT department Configuration issue no yes Are they plugged into CARESCAPE Network jacks Correct IP addressing issues User Error yes no Wired network problem Please verify configuration settings with the hospital s IT department Plug into correct jacks Troubleshooting 8 6 8 S 5 Network communication issues Check the following things before proceeding with any detailed network troubleshooting Check status of the wired and wireless network connection indicators and the WLAN signal strength indicator see section 1 6 Check status of network status LEDs see section 8 4 2 e Check network compatibility Refer to the CARESCAPE Monitor B650 Supplemental Information Manual e Check that each patient monitor has been assigned a unique Virtual ID key see section 4 3 1 B Wired S 5 network Problem Possible cause Recommended action Bedside monitor doesn
141. hen attaching the Base Unit Be especially careful to check the loudspeaker cable see the figure 7 Toreplace the mid frame detach 9 5 8 DC DC 9 3 9 CPU 9 4 3 Inverter Board Reassemble in reverse order 167 Document no M1165897A CARESCAPE Monitor B650 9 4 Front Unit Assembly 9 4 1 Detaching the Front Unit Assembly uiurmmm Im laua THT ttt TT OA 1 Detach first the Side Housing Decorations 9 3 3 the Top Cover 9 3 4 2 Remove the T10 screw at the bottom of the frame Torque 0 6 Nm 3 Remove the four T10 screws in the top and bottom corners behind the Display Unit Torque 0 6 Nm 4 Release the two snaps one on each side of the monitor The snaps are located in the middle behind the Right and Left Housing Decorations 5 Detach the WLAN card from the CPU if installed NOTE Be careful not to damage the antenna cables 6 Detach the Front Unit Assembly 7 Disconnect the U I cable from the User Interface Board Reassemble in reverse order NOTE Do not leave any dust or dirt between the LCD Display and the plastic display cover or the picture quality might deteriorate NOTE Center align the user interface cable carefully to the connector in the CPU board and or User Interface Board NOTE The keypad may be damaged when it is detached from the Front Unit Assembly It is advised not to reuse the old keypad but to order a new one
142. ient connectors specified in Table 1 Acceptance criteria in Normal Condition NC All readings shall be less than or equal to 10 uA Acceptance criteria in Single Fault Condition SFC earth open or one of the supply conductors open at a time All readings shall be less than or equal to 50 uA 5 2 9 Patient sink leakage current tests This procedure measures the leakage current from an applied part connector of the device to ground Perform the test in Normal Condition NC with normal and reverse polarity NOTE Refer to the instructions delivered with the safety analyzer to perform this test 85 Document no M1165897A CARESCAPE Monitor B650 WARNING 86 Power Cord Leakage Tester LINE o NORM Power Cord NEUTRAL pM a RVS Closed Test Body ES hy i 7 Keep cable length as 1 7 short as possible l Patient connector NOTE The measuring device MD represents the network and voltage measuring instrument and its frequency characters according to IEC 60601 1 NOTE According to IEC 60601 the impedance to protect the circuitry and the person performing the test but low enough to accept currents higher than the allowable values of the leakage current to be measured Shock hazard The following step causes high voltage at the test body Do not touch the test body NOTE Perform this test for all the connected parameter modules and patient connectors specified in Table 1 Co
143. iesisgsselTiblV sse edt as diae dtu abb been eee beh e Otia 148 9 2 1 Detaching the module frame front COSE o ious dass o pica 148 9 2 2 Detaching the Recorder Unit ss adco euet datar ael addere tendu dadas Isl 9 2 3 Detaching the PDM docking mechanism vs esses em Semi n REOR onndedeaaadaxd 152 9 2 4 Detaching the Module Frame cover UAIE cesis hr abe Ri b e EIER ESTEE 155 9 2 5 Detacning the E module Interface Board arias aan bro ee eames 154 9 2 6 Detaching the Module Frame assembly nob dde ERE ERG 155 9 3 Main unit disassembly E DR E eer ee 156 93 1 Replacing th mains PUSES estes ciate natara e es cet T pi etit 156 9 3 2 Detachiig the InterTd6e BOO nn oras 66 gt oe Deer a TERES 157 9 3 3 Detaching the Frame Side Housing Decorations 0 0 eee eee 158 9 3 4 Detaching the Top Cover es ub Lo otitis deca etre d ube eee ERE en 158 9 3 5 Disassembling the main unit into Rear and Front units o o ooooooooo 159 936 Detac hing the UDOM A O A a a 161 9 3 7 Replacing the CPU battery caseo coded aces een shad lasek eee dmt bua Eat 161 O36 Detdcimg the DCDC DOGLG aeuo i a eodd EEN GA 162 239 Detaching the CPU BOGO ne sesaritest erit nE TENE E EEEE PONE 163 9 3 10 Detaching the AC DC board and rear unit assembly oooooocccccco 164 S ope the B e Wit hou eem cee mages DES Laser mense bab acer editor 166 Sp TRO eS S EMO ene ree aia s conta maaan fet EK ED aed p aca 168 9 4 1 Detaching the Front Unit As
144. ilure and possible health hazards NOTE The manufacturer does not in any manner assume the responsibility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists The sole responsibility rests with the individuals hospitals or institutions utilizing the device NOTE Refer to Module Frames and Modules Technical Manual for corrective and planned maintenance checkout procedures of the parameter modules NOTE Refer to the PDM section in the Module Frames and Modules Technical Manual for the battery maintenance procedure of the PDM battery Corrective maintenance Service personnel shall perform the following checkout procedure steps after any corrective maintenance before taking the module back into clinical use Required checkout procedure Visual Electrical Functional check inspections safety test section 7 3 section 7 1 section 7 2 Performed service activity After detaching replacing or 7 5 1 Start up upgrading 7 3 3 PSM PDM test Recorder Unit FRU Upgrade 7 3 4 E module test E module Board FRU Upgrade 7 3 13 Recorder Module Frame Assembly FRU After detaching or replacing 7 5 1 Start up PDM Docking Mechanism FRU 7 3 3 PSM PDM test Module Frame Cover Unit Set FRU After detaching replacing or 7 5 1 Start up upgrading 7 3 6 Mouse Standard Interface Board FRU 7 3 7 Alphanumeric keyboard Advanced Interface Board FRU 7 5 9 MC Network an
145. includes a help function Click the help button for additional information related to each Webmin module 4 3 1 Network This Webmin module allows the user to configure the hostname of the patient monitor toselect and configure the real time network as the MC Network CARESCAPE Network or S 5 Network to configure the IX Network settings Hostname configuration 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Network On the Sub Modules for Network menu select Hostname In the Hostname Configuration window the current hostname is shown in the Current Value column To change the hostname enter a new hostname to the Change Value to column NOTE Hostname is a unique 4 to 32 character long identifier of a patient monitor in the network It is mainly used in Citrix sessions Use alphanumeric characters A Z a z 0 9 The hostname may include also characters and _ but it can t start or end with these characters 51 Document no M1165897A CARESCAPE Monitor B650 52 5 Select Save Hostname configuration will take effect immediately Wired interface Network selection Select first the applicable real time network 1 Ifyou have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab 2 Onthe Configuration tab select Network T
146. ing is locked and cannot be adjusted Network connection indicator Indicates the monitor is connected to the Local Area Network LAN Network connection indicator Indicates the monitor is connected to the Wireless Local Area Network WLAN Network WLAN signal strength The number of segments corresponds to the signal strength four segments indicate strong signal one segment weak signal When connection to access point is being searched the segments scroll from zero to four and back Monitor battery charging indicator Indicates the battery is charging Monitor battery gauge indicator Indicates the charge level of the battery Monitor battery failure indicator Indicates a missing battery or a battery Mone h failure PDM battery charging indicator Indicates the battery is charging PDM battery gauge indicator Indicates the charge level of the battery 14 Document no M1165897A Introduction PDM battery failure indicator Indicates the battery is not available for use Snapshot indicator Indicates the event has an associated snapshot Beat volume icon Adjust the volume of the QRS beep tone Respiration indicator Indicates a breath is detected by the impedance respiration algorithm NON BIS and Entropy sensor impedance check indicator Displays for each sensor as the impedance check is in progress BIS and Entropy sensor impedance check error indicator Indicates the specified sensor failed the
147. intenance and checkout 2 Reconnect the power cord to the wall outlet and turn on the patient monitor Leave the patient monitor on until the battery is fully recharged and the orange battery charging indicator LED turns off 3 Repeat the steps 1 and 2 once The battery is now conditioned and ready for use However if the Condition monitor battery message is still shown on the screen replace the battery NOTE Refer to section 8 4 3 Battery diagnostics and 8 5 Error messages and codes for more detailed information about the battery status and operating condition 7 4 6 Replace the battery WARNING Replace the battery in the following situations ifthe Replace monitor battery message is displayed This message indicates that the full charge capacity of the used battery has considerably degraded compared to the design capacity of a new battery ifthe Battery failure message is displayed Remove the battery from the monitor and install a new battery according to the procedure in section 3 3 1 NOTE Dispose of the battery according to local state or country laws AO LI ION NOTE Refer to section 8 4 3 Battery diagnostics and 8 5 Error messages and codes for more detailed information about the battery status and operating condition Do not incinerate the battery or store at high temperatures Serious injury or death could result 113 Document no M1165897A CARESCAPE Moni
148. intenance and checkout 3 Select Monitor Setup gt Printing gt Waveforms gt Print Waveforms or the related soft key in the main menu or the Print Waveforms hard key in the keypad to start printing 4 Verify that the recorder starts printing Let the recorder print for approximately 10 seconds and verify the following things from the printout The header line contains the date time and some other applicable status and configuration information The grid is clear The waveforms labels appear in the printout as configured Stop printing by selecting Monitor Setup gt Printing gt Waveforms gt Stop Printing or the related soft key in the main menu or the Print Waveforms hard key in the keypad 7 3 14 Synchronization connector test Required Tools E PSMP E PRESTN or E PRETN module Amultiparameter patient simulator with invasive pressure adapter cable to GE invasive pressure connector lead ECG trunk cable IEC or AHA 5 leadwire set IEC or AHA Oscilloscope Analog output cable 2000633 001 NOTE You can alternatively use the GE defib sync tester 2040582 001 together with the Analog output cable 2000633 001 and a multiparameter simulator to perform this test Follow the instructions included with the tester See analog output cable wire colors and related signals from the table below Connections 1 Ensure that the module is connected to the patient monitor 2 Connect t
149. ion for the PDM module is managed by the CPU board Check PDM Log for possible PDM errors messages see section 8 3 4 If the cause is none of the above the problem is most likely in the CPU board Replace the CPU board 139 Document no M1165897A CARESCAPE Monitor B650 8 6 7 CARESCAPE Network communication issues Traffic types Two main types of communication occurs in the CARESCAPE Network Broadcast and Unicast Broadcast traffic is sent from one device to all devices on the network Examples of CARESCAPE broadcast traffic are device discovery alarms and time synchronization Unicast traffic is sent from one device to another specific device on the network An example of CARESCAPE unicast traffic is patient waveforms Flow Upstream broadcast The patient monitor sends broadcasts to other network devices Downstream broadcast The patient monitor receives broadcasts from other network devices Wired patient monitor CIC Pro center Network Access Point Wired patient monitor Ze wireless patient 1 79 Wireless patient monitor monitor Types Flow e Broadcasts discovery alarms time e Upstream Broadcast e Unicasts waveforms ping e Downstream Broadcast e Bi Directional Unicast Mediums e Wired Combinations e Wireless e Wired Broadcast Wired Unicast Wireless Broadcast Wireless Unicast 140 Document no M1165897A Troubleshooting P
150. ions 4 3 1 Network 4 3 2 WLAN and 4 3 4 Unit and bed name to see the configuration information you need to have available to configure the patient monitor to the wireless MC Network S 5 Network The S 5 Network shall be installed according to the S 5 Network Installation Guide Refer to the iCentral and iCentral Client Service Manual for iCentral installation instructions The installation site of the patient monitor shall have a wall jack and a network patch cable for the S 5 Network Refer to the section 4 3 1 Network to see the configuration information you need to have available to configure the patient monitor to the wired S 5 Network S 5 Wireless Network The S 5 Wireless Network shall be installed according to the S 5 Network Installation Guide Refer to the iCentral and iCentral Client Service Manual for iCentral installation instructions Ensure that the wireless coverage area is adequate for the installation Refer to the sections 4 3 1 Network and 4 3 2 WLAN to see the configuration information you need to have available to configure the patient monitor to the S 5 Wireless Network IX Network The IX Network infrastructure shall be installed according to the CARESCAPE Network Configuration Guide The installation site of the patient monitor shall have a wall jack and a network patch cable for the IX Network Refer to the section 4 3 1 Network to see the configuration information you need
151. ions and parameter module support to expand from basic hemodynamic operations to demanding operating room applications The monitor is backwards compatible and upgradeable for the future 2 2 System components The CARESCAPE Monitor B650 monitoring system components are introduced below 2 2 1 Monitor The CARESCAPE Monitor B650 consists of a main unit and a pivoting module frame Main unit The main unit consists of the following subsystems power management CPU display user interface and external interfaces The power management subsystem provides the operating voltages for the electronics of the device and takes care of the battery management It consists of an AC DC power supply a DC DC power management board and an optional lithium ion battery The CPU board is the main board of the monitor It takes care of the user input and acquisition data processing and displays the processed information on the screen It controls the monitor operation and communication with the other subsystems It also interfaces with synchronization connector the optional WLAN card and the speaker The main software and all platform and clinical settings are stored in a detachable flash memory The display subsystem consists of a 15 LCD display that has integrated backlights and a separate backlight inverter board The display controller is integrated to the CPU board The display is available both as a touchscreen and as a non touchscreen versi
152. ipheral devices 2 2 7 Secondary display The CARESCAPE Monitor B650 supports a secondary clone display that is capable of displaying the same image as the integrated primary display The secondary display is available in 15 non touch or 19 touchscreen LCD with an integrated keypad and a Trim Knob control The secondary display shows visual alarms and provides connectivity to the USB input devices Refer to CARESCAPE Monitor B650 Supplemental Information Manual for a list of compatible secondary displays 23 Document no M1165897A CARESCAPE Monitor B650 2 2 8 Printers and recorders The CARESCAPE Monitor B650 can print to a recorder and to a laser printer Refer to CARESCAPE Monitor B650 Supplemental Information Manual for a list of compatible recorders and laser printers Laser printers A laser printer can print for example waveforms graphic and numeric trends snapshots events history parameter specific printouts stored laboratory data and calculation results and care reports Refer to the user s manual for more information about printing The patient monitor supports printing e toa laser printer that is connected to the patient monitor via the IX Network or directly to the IX connector in the monitor e toalaser printer that is connected to a CIC Pro Clinical Information Center on the MC Network e toa laser printer that is connected to an Central on the S 5 Network Recorders
153. irements Network only partly Passwords Power frequency Printers Remote service Time Unit and bed name WLAN Clinical settings Care unit settings Profile settings 72 Document no M1165897A Configuration 4 4 1 Save settings Save the completed platform and or clinical settings to an external device 1 If you have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Settings In the Sub Modules for Settings menu select Save In the Save Settings window select the radio button next to the type of settings you want to save Select Save If you are using Webmin on a service PC you can save the settings file to any mass storage device connected to the service PC Inthe File Download dialog box select Save Inthe Save as dialog box select the destination drive and folder and select Save NOTE You may change the default filename but do not change the file extension Select Save in the File Download dialog box locally through the integrated browser you can save the settings file to a USB flash drive that is connected to one of the patient monitor s USB ports The Save As window will show you the name of the created settings file Select Save to save the settings file to the USB flash drive NOTE You may change the default filename but do not change the file extension NOTE Do not disconne
154. it to the front cover Assemble the Keypad 172 Document no M1165897A Disassembly and reassembly 9 4 7 Replacing the Front Unit Assembly FRU 1 Disassemble first The Side Housing Decorations 9 3 3 Top Cover 9 5 4 Front Unit Assembly 9 4 1 Ul board 9 4 4 Trim Knob encoder 9 4 5 Keypad 9 4 6 2 If WLAN is installed Detach carefully the WLAN antennas from the Front Unit NOTE Be careful not to bend the antenna boards or damage the antenna cables Reassemble in reverse order NOTE When replacing the Front Unit Assembly always replace the Keypad panel and keypad with new ones as they may damage when detached NOTE The antennas are attached to the Front Unit with double sided tape New tape is included in the Front Unit Assembly FRU Use this tape when reattaching the antenna boards to the Front Unit NOTE Place the antenna cables carefully as shown in the pictures on 9 4 8 173 Document no M1165897A CARESCAPE Monitor B650 9 4 8 Replacing the WLAN Assembly FRU 1 Disassemble first Top Cover 9 3 4 2 Attach the WLAN card to the CPU board card slot as shown in the picture NOTE Be careful not to bend the antenna boards or damage the antenna cables TUTLLLEELLLL n MA LA dal dal dal F E bo 3 Peel off the paper release liner from the antenna board mounting tape one at a time see steps 5 and 4 below NOTE Be careful not to peel off
155. it is a compact medical switched mode power supply with a universal AC input The high efficiency design minimizes heat dissipation The AC input may vary between 85 264 Vac 47 63 Hz single phase It is designed to output 15 7 Vdc 2 and 110 W continuous output power for the DC DC board The AC DC power supply unit has over temperature overload and overvoltage protections Input protection is implemented with the fuses in the AC inlet Battery The patient monitor has one optional rechargeable 11 1 V 6210 mAh lithium ion battery located in the battery compartment The battery cable connects the battery board to the DC DC board The battery pack supports Smart Battery Data and it communicates with the DC DC board using the System Management Bus SMBus Battery management is handled by the DC DC board DC DC Board There are two versions of the DC DC board one for models with the optional battery and one for models without battery The non battery version excludes the electronics needed for battery charging and power path management The DC DC board converts the output voltage of the AC DC power supply or the battery voltage to the following supply voltages 94 Document no M1165897A Theory of operation e To 3 3 V supply voltage for the CPU board LCD display user interface board and the standard advanced interface board using a step down converter e To 5V supply voltage for the CPU board user interface board and
156. ith the Advanced Interface Board that provides both the IX and the MC connectors and the monitor is connected to a live IX Network 1 48 Connect a service PC to the IX Network using a standard network cable In patient monitor select Monitor Setup gt Service The local browser opens and displays the Login to Webmin dialog box Record the IX IP address of the patient monitor IX IP address IX Netmask Configure the service PC s IP address and subnet mask to the same network segment with the patient monitor s IX Network Document no M1165897A Configuration NOTE For more information on how to configure the IP address refer to the PC s documentation 5 Launch a web browser on the service PC 6 Inthe Address field type https IX IP address 10000 and press Enter NOTE IX IP address is the IX Network IP address of the patient monitor The Login to Webmin dialog box displays 3 Webmin on FM2CPU 7570021 Microsoft Internet Explorer Sele File Edit View Favorites Tools Help qe sack T gt x i2 f yo Search Sf Favorites e 2 ee Hr Lj E rel Address El https 13 187 27 10 10000 ml Go Links Login to Webmin You must enter a username and password to login to the Webmin server on 3 187 27 10 Username Password Host Serial Number SEVVOS050258HP Host Software Version 1 1 0 12_1 IX IP Address 3 187 27 1 IX Metmask Mask 255 255 255 7 Continue to 4 2 5 Login to Webmi
157. k section 7 3 all steps 4 Battery maintenance section 7 4 Replace CPU battery every 5 years see section 9 3 7 or whenever the Service Monitor Replace System Battery message is shown 106 Document no M1165897A Maintenance and checkout 7 1 Visual inspection Follow the procedure in section 5 1 Visual inspection 7 2 Electrical safety checks Electrical safety tests provide a method of determining if potential electrical health hazards to the patient or operator of the device exist Perform the following electrical safety tests described in detail in chapter 5 Installation checkout 5 2 1 Test setup 5 2 2 Power outlet 5 35 Power cord and plug 5 2 4 Ground earth integrity 5 2 5 Earth leakage current test 5 2 6 Enclosure leakage current touch current test Record the values of the tests on the Appendix C Maintenance checkform 7 3 Functional check 7 5 1 Start up Follow the procedure in section 5 5 1 Start up 7 3 2 Display Follow the procedure in section 5 3 2 Display 7 3 3 PSM PDM test 1 Configure the ECG1 waveform field and the NIBP parameter window to the monitor screen with adequate priority 2 Connect a PSM or PDM module to the patient monitor 5 Verify that the ECG waveform field the NIBP parameter window and the related information appear to the monitor screen 7 5 4 E module test 1 Login to Webmin 2 Select Informati
158. l the operation of the main processor and EMBC processor software execution The CPU board has battery backed up real time clock to store system date and time An 12C A D converter and SPI temperature sensor measure the CPU supply voltages and board temperature Video system The CPU board has a video controller that provides LVDS output to the LCD panel via the display cable and analog and digital video signals for an optional secondary display that is connected to the DVI I connector in the interface board The CPU board also provides an analog brightness control signal and a digital backlight enable signal to the backlight inverter board via the DC DC board Audio system The CPU board has a tone generator and audio amplifier that sends the audible alarm signals to the main speaker Audio feedback controls the operation of the speaker 97 Document no M1165897A CARESCAPE Monitor B650 Support for interfaces e A USB host controller root hub provides a high speed USB interface for the external USB ports in the interface boards and for the internal system components user interface board tone generator and for the USB Disk On Module e Themain processor provides one link layer interface for the external RJ 45 Ethernet ports and ePort DB9 PDM interface in the interface board e The CPU board provides a physical layer Ethernet interface for the 10 pin ePort connector in the PDM docking station 6 1 3 Display subsystem
159. lect Upload to upload the license file 6 Verify that the information populated in the Software Package and Host License tables is accurate All license changes take effect after the next system restart 75 Document no M1165897A CARESCAPE Monitor B650 4 6 Software management Software installation process consists of two main phases software transfer and software activation This Webmin module describes how to activate a previously transferred inactive monitor software or PDM software NOTE Loss of monitoring To activate software the patient monitor must be in a discharged state Before activating any software verify that the patient is discharged from the patient monitor NOTE Prior to activating any software verify the compatibility of the connected bedside and network devices Refer to the latest version of the CARESCAPE Monitor B650 Supplemental Information Manual the Device Compatibility section for a list of compatible network and bedside devices NOTE Monitor software activation will automatically reboot the patient monitor as part of the activation process PDM software activation will automatically reboot the PDM module NOTE Contact GE Healthcare to get the latest version of the user and service documentation NOTE The existing clinical and platform settings of the patient monitor will be retained and are not impacted by the activation of the new software However any platform and clinical settings
160. lthcare facility The CARESCAPE Monitor B650 is intended for use on adult pediatric and neonatal patients and on one patient at a time The CARESCAPE Monitor B650 is indicated for monitoring and recording of and to generate alarms for hemodynamic including ECG ST segment arrhythmia detection ECG diagnostic analysis and measurement invasive pressure noninvasive blood pressure pulse oximetry cardiac output temperature and mixed venous oxygen saturation impedance respiration airway gases CO O NO and anesthetic agents spirometry gas exchange and neurophysiological including electroencephalography Entropy Bispectral Index BIS and neuromuscular transmission status The CARESCAPE Monitor B650 can be a stand alone monitor or interfaced to other devices It can also be connected to other monitors for remote viewing and to data management software devices via a network The CARESCAPE Monitor B650 is intended for use under the direct supervision of a licensed healthcare practitioner or by personnel trained in proper use of the equipment in a professional healthcare facility The CARESCAPE Monitor B650 is not intended for use during MRI 1 1 5 Manual purpose This manual supplies technical information for service representatives and technical personnel so they can install and maintain the equipment to the assembly level Use it as a guide for installation maintenance and repairs considered field repairable Where necessar
161. measured from the DC DC board The AC DC voltage is 0 if the monitor is not connected to the AC mains Also see section 8 4 1 Power management LEDs These voltages are generated by the DC DC board and they are routed via the CPU board to supply power to other internal subsystems The 12 V is also supplied directly to the backlight inverter board The 15VMOD voltage is O if E module interface board is not installed VSYS 12V 5V and 3 3V voltages are measured from the DC DC board 15VMOD is measured from the E module interface board Also see section 8 4 1 Power management LEDs The 5 V REC and 12 V REC voltages are supplied for the optional thermal recorder The 5 V REC supply voltage is generated in the recorder board by a step down converter from the 12 V received from the DC DC board The 5 V REC and 12 V REC are measured from the module frame flex board These voltages are if recorder is not installed The 15 V MOD PSM voltage is supplied for the PSM module The voltage is measured from the module frame flex board 119 Document no M1165897A CARESCAPE Monitor B650 Measurement Description VSYS ePort voltage mV VSYS voltage is measured from the following locations VSYS RACK voltage mV e The VSYS ePort voltage is supplied for a PDM module that is VSYS EMOD mV connected to the PDM docking station It is measured from VSYS OPTION voltage mV the module frame flex board after the V
162. ment is calibrated via Cal labeling and record Cal Due Dates Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS Test passed N A Test not applicable FAIL Test failed PASS N A FAIL BEEN PASS N A FAIL 5 1 Visual inspection Result Limits 5 2 Electrical safety tests 5 2 2 Power outlet 5 2 5 Power cord and plug 5 2 4 Ground earth integrity a Ground continuity lt 0 1 ohms test lt 0 2 ohms b Imp of prot earth lt 0 1 ohms conn lt 0 2 ohms 5 2 5 Earth leakage current test Normal Condition NC lt 500 yA lt 500 UA Single Fault Condition lt 1mA SFC 5 2 6 Enclosure leakage current Normal Condition NC lt 100 yA touch current test Single Fault Condition 500 yA SFC lt 300 yA 5 2 7 Patient leakage current tests overview 5 2 8 Patient source leakage using a test body NC lt 10 yA current tests SFC 50 uA 5 2 9 Patient sink leakage current using a test body
163. mote on cable to the remote on connector labelled as X3 in the rear panel of the patient monitor 2 Connect the other end of the remote on cable to the related connector in the anesthesia machine Refer to the related product documentation for details NOTE Remote on connection is possible only if the monitor is equipped with the Advanced Interface Board that has the remote on connector and if the anesthesia machine supports this feature NOTE The remote on standby function is disabled when the patient monitor is battery powered 41 Document no M1165897A CARESCAPE Monitor B650 3 3 11 Connecting a local printer to the IX connector You can connect a local laser printer directly to the monitor s IX connector with a crossover cable 1 Connect the Ethernet cable to the IX connector labelled as IX in the rear panel of the patient monitor 2 Connect the other end of the Ethernet crossover cable to the connector in the laser printer NOTE Connection to a local printer is possible only if the monitor is equipped with the Advanced Interface Board that provides an IX Network connector NOTE Refer to the printer manual on how to install and configure the printer The printer shall be configured to communicate in the same subnet with the patient monitor s IX Network settings WARNING Excessive leakage current Laser printers are UL 60950 IEC 60950 certified equipment which may not meet the leakage current requirements of pa
164. munication lines to a PSM module It has a circuit breaker for the 15 VMod PSM supply voltage The circuit breaker is enabled by a control signal set by the PMC CPU after the main CPU has requested to enable the voltage E It routes the Ethernet communication lines to a PDM module It has a circuit breaker for the VSYS PDM supply voltage The circuit breaker is enabled by a control signal set by the PMC CPU after a PDM ID resistor has been detected e The 15VMod PSM circuit breaker is enabled in start up by a control signal received from the PMC CPU e The VSYS PDM circuit breaker is enabled by a control signal set by the PMC CPU after the main CPU has requested module voltages enabling providing that the other PDM connection port is not connected e It has an I2C A D converter to measure the on board 15V MOD PSM VSYS RACK and VSYS ePort and recorder 45V REC and 12 V REC supply voltages This information is communicated to the PMC CPU in the DC DC board over the I2C bus E module interface board The optional E module interface board connects to the hinge flex board It has two D25 male connectors that provide an interface for two single width E modules or for one double width E module The E module interface board provides the following main functions 102 Document no M1165897A Theory of operation It routes the RS 485 communication lines from the hinge flex board to the E modules It generates a 5
165. n After completing using Webmin 1 Restore the original network settings in the service PC 2 Disconnect the service PC from the live IX Network 4 2 5 Login to Webmin 1 Inthe Login to Webmin dialog box type the username and password and select Login or press Enter Username biomed Password Change space Me NOTE Username and password are case sensitive NOTE Change Me is the factory default password for the username biomed Refer to section 4 3 13 Passwords for details how to change the default password The Webmin application opens and defaults to the Information tab 49 Document no M1165897A CARESCAPE Monitor B650 Medical Information Configuration System Information Information Hostname GE 00D0C9A912DF Device Information Tue Nov 25 11 02 23 2008 Logout Figure 1 Webmin user interface when accessed using the integrated browser System Information D Device Information Jj Hostname GE 0DO0CSAST2DF 3 sin Tue Nov 25 11 07 03 2008 hd Mana PSP PT P OP e nn Figure 2 Webmin user interface when accessed using the service PC 2 Select the Configuration tab NOTE The following is an example of the Configuration tab when Webmin is accessed using a service PC 50 Document no M1165897A Configuration Configuration System Information Hostname FLEX_ Tue Aug 4 14 56 45 2009 4 3 Configuration procedures The Webmin service interface
166. n 9 2 1 2 Detach the PDM Docking Mechanism if installed see section 9 2 5 5 Release the two snaps inside the holes of the frame cover using a flat blade screwdriver 4 Pull the cover backwards to detach it Reassemble in reverse order 153 Document no M1165897A CARESCAPE Monitor B650 9 2 5 Detaching the E module Interface Board 1 Disassemble first 9 2 1 the Module Frame front cover 9 2 3 the PDM Docking Mechanism if installed 9 2 4 the Module frame Cover Unit 2 Detach the Module Frame back plate Release the snaps with a flat blade screwdriver and detach the plate 3 Disconnect the Hinge Flex Board from the Module Frame connectors NOTE Handle the flex board with care when disconnected Do not twist it or bend it down 4 Remove the six T10 screws mounting the E module Interface Board Torque 0 6 Nm NOTE When reassembling do not use excessive force to avoid damaging the plastic threads 5 Detach the board from the Module Frame unit Pay attention to the connector on the left side of the board Reassemble in reverse order 154 Document no M1165897A Disassembly and reassembly 9 2 6 Detaching the Module Frame assembly 1 Detach the Module Frame back plate and the Hinge Flex Board from the Module Frame connectors See the steps 2 and 3 in section 9 2 5 NOTE Handle the flex board with care when disconnected Do not twist it or bend it down
167. n in this manual for details about platform configuration and CARESCAPE Monitor B650 User s Manual for details about clinical configuration If loose parts or cable connections inside the monitor are suspected disassemble the patient monitor to a level needed to perform an internal visual check Check that e all screws are tightened properly e all cables are connected properly e thereare no loose objects inside the monitor NOTE Perform the electrical safety test and the checkout procedure every time you have disassembled the patient monitor 115 Document no M1165897A CARESCAPE Monitor B650 8 2 Webmin Information tab Access Webmin service interface to view configuration information and device information Information Configuration Information Mon Aug 31 11 39 57 2009 View Information of all the Devices connected to the ESP WLAN needs to be configured 8 2 1 Configuration information Host Information Inactive Software Version 110 12 3 Active Software Version 110 156 0040 970C00D3 SiSNetworkVirtualiD 0 UiCHardware Version mio82328 003 Host Hardware Information E Module Slots Installed Battery dmsaled o Rede CI AdvancedWO Board Installed PDM License Information No PDM found Active Software Package ICU The Configuration Information module shows the current platform configuration of the patient monitor and the connected
168. n L 1 0 20 12 IX IP Address a 187 27 11 IX Meimask 255 255 255 0 2 Continue to 4 2 5 Login to Webmin After completing using Webmin Select EN close Webmin and return to the main display 4 2 2 Local access to Webmin with a service PC connected to the IX connector You can access Webmin locally by connecting an Ethernet crossover cable between the service PC and the IX connector of the patient monitor NOTE This connection method is supported only if the monitor is equipped with the Advanced Interface Board that provides both the IX and the MC connectors NOTE If you disconnect the patient monitor from a live IX Network when a patient is admitted you will temporarily lose the services provided by the IX Network e g access to the IX printers and MUSE reports 1 Connect a service PC to the IX connector on the patient monitor using a crossover cable 2 n patient monitor select Monitor Setup gt Service The local browser opens and displays the Login to Webmin dialog box 3 Record the IX IP address of the patient monitor IX IP address IX Netmask NOTE If the IX IP address field is shown as 0 0 0 0 you need to configure the monitor s IX Network address first Access Webmin using the integrated browser see section 4 2 1 Local access to Webmin using the integrated browser on the patient monitor and configure a static IP address for the IX Network see section 4 5 1 Network 4 Configure the ser
169. n install a PSM or a PDM module either to the module frame or to a specified mounting solution Installing a PSM or a PDM module to the module frame 1 Connecta PSM or PDM module by aligning it with the insertion guides on the outside of the module frame 2 Push the module into the frame until it stops Document no M1165897A WARNING WARNING Hardware installation 1 TIT DTI Installing a PSM module to a pole mount Ensure that the Pole Mount for PSM is properly installed to an IV pole according to the installation guide included with the mounting hardware 1 Connect the PSM module to the Pole Mount for PSM as instructed in the accompanying installation guide 2 Connect the Module Bus Adapter for PSM to the PSM docking in the patient monitor 3 Connect the cable from the Pole Mount for PSM to the Module Bus Adapter for PSM Installing a PDM module to a mounting solution Ensure that the selected PDM mount is properly installed according to the installation instructions included with the mounting hardware 1 Connectthe PDM module to installed mounting hardware as instructed in the accompanying installation instructions 2 Connect one end of the ePort cable to the PDM module ePort connector Connect the other end of the ePort cable to the ePort connector in the rear panel of the patient monitor NOTE The PDM module can be installed into a pole mount only if the monitor is equipped with the Advanced Interface
170. n this manual Within this manual special styles and formats are used to distinguish among terms viewed on screen a button you must press or a list of menu commands you must select For technical documentation purposes the abbreviation GE is used for the legal entity names GE Medical Systems Information Technologies Inc and GE Healthcare Finland Oy Names of hardware keys on the equipment keypad remote control and modules are written in bold typeface Zero All Menu items are written in bold italic typeface ECG Setup Emphasized text is in italic typeface Menu options or control settings selected consecutively are separated by the symbol ECG Setup AFIB When referring to different sections in this manual section names are enclosed in double quotes Cleaning and care The word select means choosing and confirming Messages alarm messages informative messages displayed on the screen are written inside single quotes Learning Note statements provide application tips or other useful information Document no M1165897A 1 1 8 1 2 1 2 1 1 2 2 1 2 3 Introduction Product references In this manual the CARESCAPE Monitor B650 is referred to as the patient monitor Naming conventions In this manual the following naming conventions are used to refer to different modules and module categories PDM CARESCAPE Patient Data Module PSM Patient Side Module E PSM and E PSMP E modul
171. nd the connector end first all the way into the battery slot To remove the battery pull it out from the cord 3 Push the cover back up and lock it in place by turning the lock 90 degrees counter clockwise Installing the battery into the PDM module 1 Open the battery door by gently pulling on the battery door pull tab 34 Document no M1165897A Hardware installation 2 Pull the battery tray out of the PDM using the battery tray strap 3 Insert the battery with the TEST button facing up and the arrow pointing into the PDM i pA 4 Press the battery door closed until it seals the battery compartment 3 3 2 Mounting the patient monitor The patient monitor has an integrated GCX mounting plate This facilitates all mounting options for the patient monitor Refer to the CARESCAPE Monitors Mounting Catalog to identify the compatible mounting hardware for patient monitor Install the patient monitor to the mounting hardware according to the installation instructions included with the mounting hardware 35 Document no M1165897A CARESCAPE Monitor B650 WARNING WARNING WARNING Never install equipment above the patient Use only manufacturer approved mounts To prevent liquids from entering the monitor do not tilt the monitor more than 15 degrees 3 3 3 Connecting a secondary display WARNING WARNING WARNING 36 The CARESCAPE Monitor B650 supports one secondary clone display The s
172. nector e The 24 bit digital video input from the video controller is converted by an on board DVI transmitter to 3 TDMS data channels single link These provide digital video signals to the DVI I connector 100 Document no M1165897A Theory of operation It provides Ethernet interfaces e The Standard Interface Board has a single Ethernet transceiver to provide a physical layer interface for 1 RJ 45 connector e The Advanced Interface Board has an Ethernet switch that provides physical layer interface for 4 RJ 45 connectors and for 1 DB9 ePort connector Both boards have one link layer interface to the Ethernet controller that is integrated to the microprocessor in the CPU board e The Advanced Interface Board passes the remote on signal i e an on standby signal from an external device to the PMC CPU in the DC DC board The operation of the remote on connector is disabled when the patient monitor is battery powered e The Advanced Interface Board has 12C A D converter and I2C temperature sensor to measure the on board VSYS and VSYS ePort DB9 voltage and board temperature This information is communicated to the PMC CPU in the DC DC board over the 12C bus The Standard and Advanced Interface Boards receive 3 3 V and 5V supply voltages from the DC DC board via the CPU board In addition the Advanced Interface Board receives the VSYS supply voltage The VSYS OPTION voltage is provided for a PDM through the DB9
173. nfigure the safety analyzer as follows Polarity NORMAL Neutral CLOSED GND CLOSED Power on the device under test Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows Polarity REVERSED Neutral CLOSED GND CLOSED Read and record the current leakage indicated on the safety tester Power off the device under test Document no M1165897A Installation checkout 7 Repeat this test for all the connected parameter modules and patient connectors specified in Table 1 Acceptance criteria e All readings shall be less than or equal to 50 uA 5 2 10 Test completion 1 Disconnect the safety analyzer from the power outlet 2 Disconnect the test equipment from the patient monitor 3 Disconnect the patient monitor s power cord from the leakage tester 4 Markthis task as complete on the Appendix B Installation checkform 5 5 Functional check The purpose of this functional check is to ensure that the system is properly installed and configured Cover all peripheral devices that are connected to the patient monitor by performing the applicable tests below Skip the tests that are not applicable for the installed monitor 5 5 1 Start up 1 Turn on the patient monitor and perform a cold start NOTE The patient monitor performs a cold start if there is over 15 minutes from the previous start up You can force the patient monitor to pe
174. nical and service configurations are stored to the uDOM uDOM replacement The uDOM includes software but no licenses Additionally monitor serial number and all clinical and platform settings are set into factory defaults Contact GE Service if there is need to replace uDOM Some of the configuration steps described below can be performed only by GE Service After replacing uDOM perform the following tasks 1 Restart the monitor The new software in the uDOM will install automatically during the first restart This takes several minutes 2 Perform the following configurations a Restore the backup copy of the saved platform and clinical settings back to the monitor section 4 4 b Enter the original Host Serial Number printed to the device plate section 4 3 12 c Reload licenses from a license file or enter them manually section 4 5 5 Perform a complete checkout section 7 9 3 7 Replacing the CPU battery 1 Detach the Rear Unit from the Front Unit see section 9 5 5 2 Detach the CPU battery from the CPU board with a flat blade screwdriver Reassemble in reverse order NOTE Dispose of the battery according to local state or country laws 161 Document no M1165897A CARESCAPE Monitor B650 9 3 8 Detaching the DC DC board 1 Detach first the Rear Unit from the Front Unit see section 9 5 5 2 Disconnect the Battery cable and the Backlight Inverter Board cable from th
175. nsure patient monitor is installed in the appropriate wireless network infrastructure Enable wireless No NO A Do snetwork Is the patient patient monitor monitor plugged in Can infrastructure and wireless d h h card match in technology ad oe yes you ping the IEEE 802 11a b y network via patient monitor E hardwire from the CIC Pro center 2 Monitor configuration issue no 1 Does SSID match EUN Is wireless enabled 9 Space yes Does the patient monitor associate authenticate with the Access Point Refer to the troubleshoting section of this manual to check the association authentication status Leave the v No spaces at the end Y Case sensitive 2 Does wireless network support 802 11d World Mode Is it turned on 3 Do security settings match v Correct confidentiality method WEP 128 bit WPA PSK TKIP WPA2 PSK AES CCMP yes Can you ping the patient monitor no Can you ping other wireless patient from the CIC Pro center monitors from the CIC Pro center no yes No traffic is getting through Potential network configuration issue 1 Is the SSID tied to the correct VLAN AP config 2 Is the VLAN bridged to the CARESCAPE Network 3 Is the CIC Pro center in the correct CARESCAPE Network
176. ntiality Connect device to a potential equalization conductor Protective earth ground Connectors grounded to the AC power source Osi o WLAN Class 2 Identifier Date of manufacture This symbol indicates the date of manufacture of this device The first four digits identify the year and the last two digits identify the month Manufacturer name and address Batch or lot number Ibl p n Abbreviation for label part number Catalogue or orderable part number REF Device serial number 6 m A Stacking limit by number Document no M1165897A Introduction On standby button Atmospheric pressure limitations Temperature limitations Humidity limitations Keep dry Protect from rain Fragile Handle with care This way up Recycled materials or may be recycled This battery contains lithium Li lon and it can be recycled This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment Mercury This product consists of devices that may contain mercury which must be recycled or disposed of in accordance with local state or country laws Within this system the backlight lamps in the monitor display contain mercury European authorized representative
177. o DSCP mapping is not done at the wired to wireless interface NOTE This option is not configurable in the S 5 Wireless Network Configuration SSID Enter the Service Set Identifier SSID also known as network name Confidentiality Select the Confidentiality Data Privacy method to be used None WEP 64 bit WEP 128 bit WPA PSK TKIP WPA2 PSK AES CCMP Key Index Select the Key Index to be used Pass Phrase Format _ Select the Pass Phrase Format ASCII HEX The SSID of the wireless client must match the SSID of the wireless infrastructure A valid SSID includes up to 32 case sensitive ASCII characters including space ASCII decimal 32 to 126 The confidentiality method of the wireless client must match the confidentiality method of the wireless infrastructure NOTE The authentication method used with WEP is Open System Authentication NOTE The wireless MC Network supports only confidentiality methods None WEP 128 bit WPA PSK TKIP and WPA2 PSK AES CCMP NOTE The S 5 Wireless Network supports only confidentiality methods None WEP 64 bit and WEP 128 bit The Key Index of the wireless client must match the Key Index of the wireless infrastructure NOTE The Key Index is selectable only if the confidentiality method selected is WEP 64 bit or WEP 128 bit Select the format of entering a Pass Phrase 57 Document no M1165897A CARESCAPE Monitor B
178. o ano Je onuoo aoeL9 U SMN qanor Kejdsiq 497 S4 pieog ooejioju 1 SN pueog 14617 uue y w 9 qe9 wely 3 S 31 JOJeo1pu 160g ped ay eueJquJe A o Jopo2u3 yong AgLS NO VLOVdA3M LL suoynq uonounj JOSIP 10 Z qouyuiL 10 QVdA3M ue4Beiq uejs s 0599 JO UOW 3d VOS3VO The system block diagram describes the functional units of the CARESCAPE Monitor B650 The following sections describe the operation and interaction of the different subsystems 93 Document no M1165897A CARESCAPE Monitor B650 6 1 Main components 6 1 1 Power management subsystem DC DC Board block diagram Rs ACDC 15 3 16V Input Current Limiting BAT_IDRES a r Power Path control signals AC DC POWER SUPPLY 15 7V 2 DC DC BOARD E Excluded from the non battery DC DC board E 8 o B as oO lt VSYS ACDC POWER_IN VSYS CIRCUIT BREAKER D gt SYS CURRENT gt MOD_CURRENT 5V_PMC 8 7 16V ac dc use 14 9 16V VSYS LINREG Rs Rs VSYS EN DC DC Board control signals Quo LED control LED 3 3V 5V ate DRIVE BUCK BUCK ON STBY Control signals Hia LOGIC to other boards Cpu Board Connector B650 PowerSupp DCDC BIk Diag M10588 26 001 vsd SERIAL amp I2C COMM E d Front Panel 3 3V 5V CCFL 12V 15VMOD VSYS ON STBY CTRL ee Pow and Chg BACKLIGHT Circuit LEDs REMOTE_ON INVERTER F Breakers AC DC Power Supply Unit The AC DC power supply un
179. of the Unity Network ID is set to a value other than the default XXXX XXX For example BAY3 UNID3 Refer to the Unity Network Interface Device ID Service Manual for instructions on checking and changing the IP address 3 1 5 Power and environmental requirements WARNING Check the CARESCAPE Monitor B650 Supplemental Information Manual for power and environmental requirements Power requirements e The installation site shall have hospital grade grounded power outlets and power cords for all system components Environmental requirements Install the patient monitor to a location that meets the specified environmental requirements of operating temperature humidity and atmospheric pressure Set up the device in a location which affords sufficient ventilation The ventilation openings of the device must not be obstructed Do not use the monitor in high electromagnetic fields for example during magnetic resonance imaging EMI amp RFI interference e The patient monitor should be isolated from sources of strong electromagnetic and radio frequency interference NOTE Refer to Appendix A ElectroMagnetic Compatibility for more information 29 Document no M1165897A CARESCAPE Monitor B650 3 2 Controls and connectors 3 2 1 Front view 15 Display 15 Touchscreen Alarm light Power indicators 1 Alarm light 2 Power On standby button 3 Power indicators 4 Int
180. ols appear on one or more of the devices ATTENTION Consult accompanying documents Consult operating instructions DANGER Shock hazard Dangerous voltage To reduce the risk of electric shock do not remove cover Refer servicing to qualified service personnel Electrostatic sensitive device Connections should not be made to this device unless ESD precautionary procedures are followed LASER RADIATION Do not stare into beam Class 2 laser product Non ionizing electromagnetic radiation Interference may occur in the vicinity of this device Type BF IEC 60601 1 protection against electric shock Non isolated applied part suitable for intentional external and internal application to the patient excluding direct cardiac application 7 Document no M1165897A CARESCAPE Monitor B650 Type BF IEC 60601 1 defibrillator proof protection against electric shock Isolated floating applied part suitable for intentional external and internal application to the patient excluding direct cardiac application Type CF IEC 60601 1 protection against electric shock Non isolated applied part suitable for intentional external and internal application to the patient including direct cardiac application Type CF IEC 60601 1 defibrillator proof protection against electric shock Isolated floating applied part suitable for intentional external and internal application to the patient including direct cardiac application CAUT
181. on The user interface board provides an interface between the CPU board and the keypad Trim Knob control alarm light board and touchscreen sensor 17 Document no M1165897A CARESCAPE Monitor B650 2 2 2 18 There are two different configurations of the interface board They provide connectors for peripheral devices like USB input devices network interfaces a secondary clone display and other devices Module frame The monitor has a pivoting module frame that includes standard docking for the following multiparameter hemodynamic modules Patient Data Module PDM and Patient Side Module PSM The optional E module support extends the monitoring capabilities to other hemodynamic modules gas measurement brain monitoring and relaxation measurement The optional integrated recorder enables local printing to a thermal paper Both options also are available as field upgrades Software CARESCAPE Monitor B650 is highly configurable and provides many monitoring possibilities with a flexible software licensing model The monitor supports care area specific software packages for OR PACU ICU ED and NICU Each dedicated software package provides a comprehensive feature set for the different monitoring needs and can be further extended with the optional feature licenses Software license model supports trial licensing and easy field upgrades with license key activation o 13 28 0 0 21 3 8 id 14 min Admit Monit
182. on Device Information 3 Verify that the information about the connected module appears in the table named as Acquisition Information E Modules 107 Document no M1165897A CARESCAPE Monitor B650 NOTE For some parameter modules the table does not show the actual module information but the information of the individual subassemblies inside the module NOTE You may need to refresh the Webmin screen if you have connected the module to the monitor after entering the Device Information Webmin screen 7 3 5 Keypad and remote Follow the procedure in section 5 3 5 Keypad and remote 7 5 0 Mouse Follow the procedure in section 5 5 6 Mouse 7 3 7 Alphanumeric keyboard Follow the procedure in section 5 3 7 Alphanumeric keyboard 7 3 8 Barcode reader Follow the procedure in section 5 5 8 Barcode reader 7 3 9 MC Network and S 5 Network Follow the procedure in section 5 3 9 MC Network and S 5 Network 7 5 10 Wireless LAN Follow the procedure in section 5 5 10 Wireless LAN 7 5 11 IX printers Follow the procedure in section 5 5 11 IX printers 7 3 12 Insite with Exc Follow the procedure in section 5 5 12 Insite with EXC 7 3 13 Recorder 1 Select Monitor Setup Printing Devices Setup and configure Printout Waveforms Location Local 2 Select Monitor Setup Printing Waveforms and configure Waveform 1 II Waveform 2 V1 108 Document no M1165897A Ma
183. onnections case starts ends cold starts warm starts etc Technical notes and errors displayed for clinical users including all host and module related technical errors e g Failure in Agent ID Clinical alarms including clinical application related patient alarms and their level e g FiO Low Clinical user interactions such as the host keystrokes and touchscreen selections menu setting changes etc EPI layer related errors including information about EPI layer issues detected by the clinical application To download log files 1 Logonto Webmin 2 Select Diagnostics Download Logs 5 Select the log s you want to download 4 Click Download 5 f you are using Webmin d fromaservice PC you can save the log file to any storage device connected to the service PC In the File Download dialog box select Save In the Save as dialog box select the destination drive and folder and select Save NOTE You may change the default filename but do not change the file extension b locally through the integrated browser you can save the settings file to a USB flash drive that is connected to one of the patient monitor s USB ports e The Download Logs window will show you the name of the created log file e Select Download to save the log file to the USB flash drive NOTE Do not disconnect the USB storage device until downloading is complete 6 Send this log file to GE Service for further inve
184. or Favorites Data and Recorder Take NIBP NIBP Zero All Discharge Setup Tasks Wave Snapshot Go Stop Auto Pressures Input devices You can connect several USB input devices to the CARESCAPE Monitor B650 including alphanumeric keyboard mouse remote control and barcode reader Refer to CARESCAPE Monitor B650 Supplemental Information Manual for a list of compatible USB input devices Document no M1165897A o Tiu oo Li perma m f 2 2 3 Acquisition modules System overview Keyboard An alphanumeric USB keyboard allows you to enter data without using the on screen keyboard or a touchscreen display Mouse A USB mouse allows you to select any on screen items without a Trim Knob control or a touchscreen display Remote control A USB remote control provides the same controls as the integrated keypad and allows the user to operate the monitor functions from a distance Bar code reader A USB barcode reader can be used to scan patient data from bar codes when admitting patients The CARESCAPE Monitor B650 includes standard docking for the following multiparameter hemodynamic modules PDM and PSM PSM 19 Document no M1165897A CARESCAPE Monitor B650 The E module slots can occupy two single width or one double width E modules at a time e aut e e 0 A lt L c com a 97777 a eee E 1 gt ec Q ag e pem 2 o ma 5 e ES Sad E so m e el j snn wP s o
185. or defective Replace the front unit assembly see section 9 4 1 Keypad Trim Knob on standby button and alarm Light issues None of the user interface UI cable loose or defective Check user interface cable and replace it board functions work see if necessary see section 9 4 4 SON RUNE UI board defective Replace the user interface board see section 9 4 4 Trim Knob only is inoperative Trim Knob cable loose Connect Trim Knob encoder cable to the user interface board see section 9 4 4 Trim Knob encoder defective Replace the Trim Knob encoder see section 9 4 5 Hard keys or the power Keypad is defective Replace keypad see section 9 4 6 aaa penne ney peat User interface board is defective Replace the user interface board see inoperative T 5 section 9 4 4 Alarm light does not illuminate Alarm light cable is loose Connect the alarm light cable to the user when there is an alarm interface board condition on audible alarms Alarm light board or alarm light Replace the front unit assembly see iL alarm message is cable is defective section 9 4 1 Alarm light does not illuminate Warm start Itisless than 15 minutes since the last during power on self test power up warm start and this normal operation The alarm light illuminates during the power on self test only if it is a cold start more than 15 minutes from the previous start up Alphanumeric Keyboard and b
186. page to view the following device information Host Information Active software part number and version Inactive software part number and version Host serial number Host asset number MC Network IP address IX Network IP address MAC address S 5 Network virtual ID CPU hardware version PMC hardware version and UIC hardware version Host Hardware Information Status information for E Module Slots Battery Recorder WLAN and Advanced I O Board hardware options Active Software Package Current software package in use Host License Information Each host license name its current status enabled disabled or trial feature code and the expiration date for a trial license Acquisition Information PDM Active software version Main board revision DAS board revision Serial number Asset number MAC address IP address Power frequency ECG filter Acquisition Information E Module Label Software version Control number and Serial number S 5 Printers Printer name IX Printers Printer name hostname or IP address Printer Location Information Printout type Alarm Waveforms Numeric Trends Reports and Waveforms and Printer location PDM License Information License option status and number of licenses 117 Document no M1165897A CARESCAPE Monitor B650 UNITY ID Information Product ID Unity Network ID software number and version Date Time Device name and software version of each device connected
187. peripheral devices To view configuration information 1 Logon to the Webmin application 2 Select the Information tab 3 Select Configuration Information 4 Scroll down the page to view the following configuration information Host Information Active software part number and version Inactive software part number and version Host serial number Host asset number MC Network IP address IX Network IP address MAC address S 5 Network virtual ID CPU hardware version PMC hardware version and UIC hardware version Host Hardware Information Status information for E Module Slots Battery Recorder WLAN and Advanced I O Board hardware options PDM License Information License option status and number of licenses e Active Software Package Current software package in use E Host License Information Each host license name its current status enabled disabled or trial feature code and the expiration date for a trial license e Admit Settings Patient ID Prefix Unit and Bed Name Unit name and Bed name for CARESCAPE Network e Acquisition Information E module STP TP ST configuration information and P PT PP configuration information from E modules S 5 Printers Printer name IX Printers Printer name hostname or IP address 116 Document no M1165897A Troubleshooting Printer Location Information Printout type Alarm Waveforms Numeric Trends Reports and Waveforms and Printer lo
188. pically needed only after replacing the uDOM or the touch screen sensor Perform touchscreen calibration as follows 1 Select Monitor Setup Service Calibrations 2 Inthe Enter Password dialog box type the username and password and press Enter Username biomed Password Change space Me NOTE Username and password are case sensitive NOTE Change Me is the factory default password for the username biomed Refer to section 4 3 13 Passwords for details on how to change the default password 3 Inthe Service Calibrations menu select Touch Screen The Touch calibration screen opens 4 Touch the cross hair in each corner of the screen 4 1 2 Optional secondary display Display adjustments If needed adjust the picture on the display using the Auto Adjustment feature in the display s OSD menu Refer to the display s User s Manual for details Touchscreen calibration Perform the touchscreen calibration for the secondary display the same way as for the integrated primary display section 4 1 1 Integrated primary display 43 Document no M1165897A CARESCAPE Monitor B650 4 2 Access to Webmin Webmin is the browser based service interface that is used to configure the platform settings of the patient monitor Local Webmin Remote Webmin Patient monitor Po CARESCAPE Network IX GE Healthcare Local access to Webmin The user can access Webmin locally through th
189. pment required to perform electrical safety tests is listed below Tool Part Number Requirement Safety Analyzer Leakage Current Tester Equivalent to the circuits shown Safety Test Body Kit P N M1155870 or equivalent 77 Document no M1165897A CARESCAPE Monitor B650 1 Instead of the test bodies included in the safety test body kit other applicable test bodies with all pins connected together may be used Perform electrical safety tests using an electrical safety analyzer according to IEC 60601 1 UL 60601 1 EN 60601 1 or CSA C22 2 No 601 1 The schematics in this section provide a general understanding of the test equipment Actual configuration of test equipment may vary The patient monitor being tested should be placed on an insulating surface NOTE Before proceeding make sure that all test equipment is properly calibrated maintained and functioning NOTE Refer to the instructions delivered with the safety analyzer to perform each test NOTE GE recommends that the qualified personnel performing the tests should record the test results of each electrical safety test for example by using the installation maintenance check forms included in this manual System setup These instructions are intended for every component in the system Ensure that all system components are properly connected to the patient monitor as described in chapter 3 Hardware installation 5 2 2 Power outlet Verify that the powe
190. r CARESCAPE Monitor B650 B XE 1 USB extender cable 5m 16 ft 2 USB extender cable 5m 16 ft Remote display Standard USB cable 5m 16 ft M ss Single port USB hub DVI I cable 15 m 49 ft E Single port USB hub b Ato D DVI D connection B to C USB remote 2 USB extenders required USB connection 1 Connectthe Type A plug of the 1st USB extender to one of the downstream ports Type A USB port on the back of the patient monitor 2 Connect the Type A plug of the 2nd USB extender to the Type A receptacle on the 1st USB extender 3 Connect the Type A plug of the standard USB cable to the Type A receptacle on the 2nd USB extender 4 Connect the Type B plug of the standard USB cable to the upstream port Type B USB port on the bottom of the display 37 Document no M1165897A CARESCAPE Monitor B650 Video cable Connect one end of the 15 meter DVI I to DVI I video cable to the DVI I connector on the bottom of the display and the other end to the DVI I connector on the back of the patient monitor 3 3 4 Connecting to the mains power WARNING WARNING WARNING WARNING Use only AC power cords recommended or manufactured by GE EXCESSIVE LEAKAGE CURRENT When interfacing the device with other equipment the devices may only be interconnected with each other or to parts of the system when it has been determined b
191. r outlet is wired correctly according to the country s electrical code standard before starting the following electrical safety tests The results of the following tests will be inaccurate unless a properly wired power outlet is used Use only non isolated power outlets when performing safety tests 5 2 3 Power cord and plug WARNING Verify that the power cord being used with the patient monitor is good To do this check the following Inspect the power cord for wear or damage regularly If damage is suspected test for continuity through each conductor of the power cord connector e Verify that line neutral and earth conductors are properly connected to the power cord plug and are not short circuited Replace the power cord as necessary with a regulatory approved cord for the country of use Use only AC power cords recommended or manufactured by GE 5 2 4 Ground earth integrity 78 Listed below are two methods for checking the ground earth integrity a Ground continuity test and b Impedance of protective earth connection These tests determine whether the device s exposed metal and power inlet s earth ground connection has a power ground fault condition Perform the test in accordance to your local regulations Refer to the instructions delivered with the safety analyzer to perform each test a Ground continuity test The measuring device MD in the diagram below may be a digital multimeter or part of the
192. rame flex board The recorder board provides the following main functions It passes the recorder control signals and the serial communication lines to the recorder It has a circuit breaker and an LC filter for the 12 V REC supply voltage It has a step down converter that generates the 5 V REC supply voltage for the recorder from the 12 V received from the DC DC board 103 Document no M1165897A CARESCAPE Monitor B650 PDM interface The detachable PDM docking station interfaces to the module frame flex board The 10 pin PDM connector provides the VSYS ePort supply voltage and the Ethernet communication lines to the PDM module PSM interface The PSM connector is part of the module frame flex board The PSM connector provides the 15 VMod PSM supply voltage and the RS 485 communication lines to the PSM module 104 Document no M1165897A Maintenance and checkout 7 Maintenance and checkout This chapter specifies the checkout procedure and the maintenance activities to be performed to the CARESCAPE Monitor B650 after corrective maintenance and during annual planned maintenance This chapter also covers the battery maintenance information for the patient monitor s lithium ion battery WARNING Only perform maintenance procedures specifically described in the manual WARNING Planned maintenance should be carried out annually Failure to implement the recommended maintenance schedule may cause equipment fa
193. ration Length Delimited Parser a e E E Lj in in in E R3 R En D in D o MS Fixed Option Configure character delimited parser information Points to note 64 If you configure Age you must either select the Age Unit item or one of the age units e g Years Months Weeks Days under Fixed Option If you configure Height you must either select the Height Unit item or one of the height units e g Feet Inches Meters Centimeters Millimeters under Fixed Option If you configure Weight you must either select the Weight Unit item or one of the weight units e g Kilograms Grams Micrograms Pounds Ounces under Fixed Option For an example of admit discharge configuration for a length delimited parser refer to Sample character delimited parser information entry on page 65 Document no M1165897A Configuration 1 In the Position column of the Admit Discharge Configuration window enter the sequence number of each item included in the barcode Use incremental numbers from 1 the left most field up to 16 the right most field If an item is not included in the barcode leave the Position field blank for the item 2 Under Field Delimiter in the Delimiter field enter the special character that separates the fields on the barcode NOTE Allowed characters are ASCII characters 33 126 NOTE Forbidden characters are control characters ASCII characters 0 31 the space character AS
194. rform a cold start earlier by detaching the battery and disconnecting the power cord from the wall outlet for a moment before turning the monitor on Verify that the monitor starts up normally The yellow red and blue alarm lights are lit momentarily only in cold start The speaker gives an audible beep The normal monitoring screen appears and there are no error messages on the screen NOTE Refer to section 7 4 Monitor battery maintenance to see the procedure for battery conditioning and battery replacement if you receive a Condition monitor battery or a Battery Failure message For any other battery related message refer to section 8 Troubleshooting NOTE Before taking the patient monitor into use for the first time the battery should be fully charged Keep the monitor connected to the mains until the battery is fully charged 5 3 2 Display Picture quality Perform this test both for the integrated main display and for the optional secondary display 1 Verify that all text is readable and all images are clear 2 Verify that the brightness is good Adjust if necessary 87 Document no M1165897A CARESCAPE Monitor B650 Touchscreen control Perform this test only if the integrated main display or the optional secondary display is a touchscreen 1 Verify the operation and the calibration of a touchscreen by touching a corner of an active parameter window Verify that the related menu is opened
195. rk symbol is displayed in the upper right corner of the screen 2 Select Data amp Pages Other Patients and select a patient from the list 3 Select Show and verify that a window with parameters from another patient displays on the left side of the screen 4 Select Close View to close the window 5 5 10 Wireless LAN Perform the following test only if the patient monitor is connected to a wireless MC Network or S 5 Network NOTE The wireless network must be properly installed and the patient monitor must be within the wireless coverage area 90 Document no M1165897A Installation checkout NOTE Make sure that at least one other patient monitor is on the network The other patient monitor must be in an admitted state and have an active ECG measurement with a simulator signal L 6 Disconnect the network cable from the MC Network connector if connected Check that the wireless network symbol and the signal strength symbol are shown inf and that the signal strength is adequate Select Data amp Pages Other Patients and select a patient from the list Select Show and verify that a window with parameters from another patient displays on the left side of the screen Select Close View to close the window Reconnect the MC Network cable back to the MC Network connector if applicable 5 3 11 IX printers Perform the following test only if the patient monitor is connected to a printer in the IX Network and yo
196. roblem No waveforms or parameters are displayed at the CIC Pro center Can you now see waveforms parameters Configuration issue Select the appropriate unit and bed name START Can you select the no Go to A on page B 4 Can you now see waveforms parameters yes patient monitor at the CIC Pro center Can you select the patient monitor at Broadcast traffic is not making it to the CIC Pro center CIC Pro center connectivity problem 1 Is the CIC Pro center in Exit yes Can you now see waveforms parameters monitor to view from this patient monitor yes no Go to Aon next page Network problem Broadcast traffic is going between the patient monitors but not to the CIC Pro centers The CIC Pro centers may not be on the same network as the patient monitors Please verify configuration settings using the Wireless LAN Network Configuration Guide and consulting the hospital s IT department another CIC Pro the correct CARESCAPE center Network Please verify CIC Pro center network no configuration settings in the CIC Pro Service Manual Can you select another patient na Go to A on d next page Go to A on next page 141 Document no M1165897A CARESCAPE Monitor B650 E
197. ry power Charging Monitor is connected to AC mains and charging the battery Full Monitor is connected to AC mains and battery is fully charged Charge Level 96 Battery charge level compared to full capacity E h percentage NA Battery is not connected to the monitor is not Battery isnot connected to the monitor to the monitor Time to empty HH MM Estimated operating time before the battery is empty Battery is not connected to the monitor or battery is being charged Time to full HH MM Estimated time to charge the battery to full capacity N A Battery is not connected to the monitor or battery is being discharged Temperature POK Battery temperature is ok Over temperature Battery temperature error due to high battery temperature Battery is not connected to the monitor Battery Quality The full capacity of the battery is more than 50 compared to the full capacity of a new battery Condition Battery requires conditioning Replace The full capacity of the battery is less than or equal to 5096 compared to the full capacity of a new battery Battery is not connected to the monitor 127 Document no M1165897A CARESCAPE Monitor B650 Remaining capacity mAh Remaining capacity of the battery in mAh Full capacity mAh Full capacity of the battery in mAh Full capacity compared to new 96 Full capacity of the battery compared to the nominal full capacity of a new battery Cycl
198. s most likely in the CPU board Replace the CPU board Recorder works but nothing Paper installed upsidedown Turn the paper roll over appears on the paper To test which side is active Place the paper on a hard surface and draw a line with a fingernail a dark line will appear on the active thermal side 8 6 6 Acquisition module problems Problem an acquisition module does not work with the patient monitor Locate first whether the problem is in the patient monitor or in the acquisition module 1 Connectanother similar known good module to the suspect patient monitor and check if the module works normally Yes gt The suspect module is most likely defective Refer to Module Frames and Modules Technical Manual for troubleshooting instructions No gt The problem is most likely in the patient monitor Continue troubleshooting the problem according to the related troubleshooting chart below OR Connect the suspect acquisition module to another similar known good patient monitor and check if the module works normally Yes gt The problem is most likely in the patient monitor Continue troubleshooting the problem according to the related troubleshooting chart below No gt The suspect module is most likely defective Refer to Module Frames and Modules Technical Manual for troubleshooting instructions 137 Document no M1165897A CARESCAPE Monitor B650 E modul
199. sembly sse aus e bats ota ier eae de PERS Dae 168 9 4 2 Detaching the LCD DSpace o REPRE Oed 169 9 4 3 Detaching the Backlight Inverter Board sn dnd ema att os tote des ep Pe ees 170 9 4 4 Replacing the User Interface Board asset eaa ec EE e PP eor ER th dede 171 9 4 5 Replacing the Trim Knob and Trim Knob Encoder 00 c cece eee eee 171 946 Replacing UIS OVO resina ts ns pad det 172 94 7 Replacing the Front Unit Assembly FRU escitas ai CDU eme 173 9 4 8 Replacing the WLAN Assembly FRU 00000 Re 174 10 Service parts 177 ION EO q aola RENE EET eee aces neue eeenee aes 177 AA aae anaa a a a a a ee 177 Appendix A ElectroMagnetic Compatibility A 1 Appendix B Installation checkform B 1 Appendix C Maintenance checkform C 1 V Document no M1165897A CARESCAPE Monitor B650 vi Document no M1165897A 1 1 1 1 1 1 1 2 Introduction Introduction Manual information Revision history Each page of the document has the document part number and revision at the bottom of the page The revision changes whenever the document is updated ison comment Initial release 12 May 2010 Added uDOM configuration instructions 16 July 2010 006 Sw 1 1 10 update 16 Nov 2011 Updated EMC table and FRU list 28 June 2012 Indications for use of this device The CARESCAPE Monitor B650 is a multi parameter patient monitor intended for use in multiple areas and intrahospital transport within a professional hea
200. ss any hard key in the keypad or remote and verify that the related menu is opened on the screen or the related activity is started Rotate the Trim Knob control in either direction to move from option to option on the display until you have an active parameter window or main menu item highlighted Press the Trim Knob control once to select the highlighted option Verify that the related menu is opened on the screen or the related activity is started Select EUM to close any open menu and return to the main display Perform this test only if a mouse is connected to the patient monitor 1 2 Move the mouse until the pointer arrow is over an active parameter window or a main menu item you wish to select and click the left mouse button once to select it Select BN to close the open menu and return to the main display 5 3 7 Alphanumeric keyboard Perform this test only if an alphanumeric keyboard is connected to the patient monitor 1 2 3 4 9 Select Data amp Pages Admit Discharge or Start End Case Select the Patient tab Edit Name amp MRN Press Enter to highlight the Medical Record Number field Type some text into the Medical Record Number field using the connected alphanumeric keyboard Include some characters that are specific to the chosen keyboard locale to verify that the keyboard language configuration is correct Select Eg to close the open menu and return to the main display 5 3 8 Barcode re
201. stigation To view log files 1 Log onto Webmin 2 Select Diagnostics gt View Logfiles 3 Select the log file you want to view 4 Select the information you want to view Document no M1165897A Troubleshooting For the Webmin Action Log select the user module and timeframe and select Search For the other types of logs select the link associated with the information you want to view 8 4 Other troubleshooting tools 8 4 1 Power management LEDs The DC DC board includes troubleshooting LEDs that helps the user to troubleshoot start up related problems in the patient monitor The troubleshooting LEDs in the DC DC board are visible through the ventilation holes in the rear of the patient monitor see picture below DC DC board H acoc g 5v 12 V C 3 3 V 15 VMOD On standby Power management ACDC green The green ACDC LED should be lit when the patient monitor is connected to the AC mains even if the monitor is in standby mode A lit LED indicates that the DC DC board receives the 15 3 16 VDC from the AC DC power supply unit If the ACDC LED is not lit when the patient monitor is connected to live AC mains check the patient monitor for one of the problems Main fuses are blown AC DC cable is disconnected from DC DC board Defective AC DC power supply unit especially if the patient monitor operates normally when it is battery powered Defective DC DC board especially if the
202. t Discharge menu If a field contains a forbidden character that character will be replaced with a space when it is displayed on the Admit Discharge menu Item Maximum _ Valid entries Comments a a Forbidden characters are those that are not allowed by the monitor including the following characters eee GS ES ELL ITV bes 99 Both letters and numbers ma Last Name Name Day a NN Birth If Day of Birth is present in the barcode then Month of Birth and Year of Birth also need to be present Month of Birth If Month of Birth is present in the barcode then Day of Birth and Year of Birth also need to be present Year of Birth 4 1880 to current year If Year of Birth is present in the barcode then Day of Birth and Month of Birth also need to be present Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Age Unit A Y YR YRS years MO MOS months WK WKS weeks D DAY DYS days Gender 1 If gender is configured not fixed this must be 1 character Height Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Height Unit FT feet IN inches M meters CM centimeters MM millimeters Weight Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Weight Unit KG KGS kilograms G GM GMS grams MCG micrograms OZ OZS ounces LB LBS pounds Visit Number 99 Both letters and numbers Forbidden characters are those
203. tach the rear unit assembly to get access to the CPU board and be able to connect the inverter cable to the CPU board 9 4 5 Replacing the Trim Knob and Trim Knob Encoder To replace the Trim Knob Pull the Trim Knob off from the front side Detach the nut and washer from the front side using the 11 mm wrench 1 6 Nm Detach the Trim Knob Encoder Cable from the User Interface Board Detach the Encoder from the back of the Front Unit Reassemble in reverse order NOTE When reassembling position the encoder as shown in the picture 171 Document no M1165897A CARESCAPE Monitor B650 9 4 6 Replacing the Keypad 1 Pull the Trim Knob off 2 Tear the Keypad panel from the Front Unit starting from the upper left corner NOTE Try to leave as little glue as possible to the front frame cover If any glue remains clean the surface with water diluted alcohol Assembling the keypad Remove the release liner of the keypad Place the hole at right end of the keypad to the Trim Knob shaft Then carefully guide the lower edge against the cover edging 5 Tear the membrane keypad from the Front Unit and detach the keypad connector that connects it to the User Interface Board Assembling Clean the glue from the surface Remove the release liner from the membrane keypad Connect the membrane keypad connector first and direct the membrane into place Pat the membrane keypad carefully to stick
204. tal Information Manual for a list of supported printers 59 Document no M1165897A CARESCAPE Monitor B650 Install a printer 1 ai CON OW Oo MO 8 2 g 10 If you have not already done so login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Printers On the Sub Modules for Printers menu select Install Printer Under Printer Configuration Information on the Install Printer window provide the following information Select either the Hostname or IP Address radio button as applicable In the Hostname or IP Address field enter the printer Hostname or IP Address In the Printer Name field enter the Printer Name Select Yes from the drop down list next to Test Page Select Save From the patient monitor select Monitor Setup gt Printing Select the Devices tab From the Printout menu select what to print out for example Waveforms Alarm Waveforms Numeric Trends Reports Under Location select the radio button next to Network From the drop down list next to Network Device select the desired printer The change will take effect immediately Delete a printer NOTE Before deleting a laser printer check Monitor Setup gt Printing gt Devices gt Status If a printout is assigned to the printer to be deleted redirect the printout to another valid printer 1 nM DNN If you have not already done so login to Webmin see
205. tal environment 1 CARESCAPE Monitor B650 without E COPSv 01 2 CARESCAPE Monitor B650 with E COPSv 01 3 NOTE related to E COPSv 01 High voltage fast transients and bursts from an AC network may cause C O temperature bolus injection measurement inaccuracies High voltage fast transients and bursts are typically short term disturbances They can be generated when inductive loads such as cage induction motors and other inductive electrical equipment are disconnected from the network If you suspect that there are C O temperature bolus injection measurement inaccuracies it is suggested to not use the reading for the computation For charged battery powered monitors with a power cord the measurement may be taken with the unit in battery operation mode remember to reconnect to the mains after the measurements Consult the department s standard of care related to C O temperature bolus injection measurement inaccuracies 4 NOTE Ur is the AC mains voltage prior to application of the test level A 2 4 Document no M1165897A ElectroMagnetic Compatibility Table 3 Guidance and manufacturer s declaration electromagnetic immunity Guidance and manufacturer s declaration electromagnetic immunity The CARESCAPE Monitor B650 is intended for use in the electromagnetic environment specified below The customer or the user of the CARESCAPE Monitor B650 should assure that it is used in such an environment Immunity test IEC 60601 test le
206. ted When taking this measurement flex the unit s power cord along its length There should be no fluctuations in resistance Acceptance criteria For equipment without a power supply cord the impedance between the protective earth terminal any accessible metal part which is protectively earthed shall not exceed 0 1 Ohms For equipment with a power supply cord the impedance between the protective earth pin in the mains plug and any accessible metal part which is protectively earthed shall not exceed 0 2 Ohms 79 Document no M1165897A CARESCAPE Monitor B650 5 2 5 Earth leakage current test This test measures the current leakage flowing from the mains part through or across the insulation into the protective earth conductor of the device under test Perform this test both in Normal Condition NC and in a Single Fault Condition SFC where one of the supply conductors is open at a time Perform the test with normal and reverse polarity NOTE Refer to the instructions delivered with the safety analyzer to perform this test Leakage Tester LINE 2 o NORM Power Cord x RVS NOTE The measuring device MD represents the network and voltage measuring instrument and its frequency characters according to IEC 60601 1 1 Configure the safety analyzer as follows NC Polarity NORMAL Neutral CLOSED 2 Power on the device under test 3 Read and record the current leakage indicated on the safety tester
207. ted to the PSM module mounted to the IV pole mounted to a pole mount and to the PSM connector in the patient monitor DC DC board failure The VSYS supply voltage for the PSM module is generated in the DC DC board Check that it is within specs see section 8 3 1 VSYS voltage mV If VSYS voltage is out of spec the problem is most likely in the DC DC board Replace the DC DC board The hinge flex board is loose or Check that the hinge flex board is intact and properly connected to the defective CPU board and to the module frame flex board The module frame flex board is Check the status of the 15 VMod PSM voltage see section 8 3 1 loose or defective Hardware statistics If the 15 VMod PSM voltage is out of spec but the 15VMod exists in the DC DC board and hinge flex board is good the problem is most likely in the module frame flex board 158 Document no M1165897A Possible cause CPU board failure PDM module issues Troubleshooting Recommended action The RS 485 communication for the E modules is managed by the EMBC section of the CPU board Check EMBC Frame logs for possible EMBC failures see section 8 3 4 If the cause is none of the above the problem is most likely in the CPU board Replace the CPU board Possible cause Recommended action The external ePort cable is loose or defectice PDM is connected to the ePort connector in advanced interface board DC DC board
208. that are new and specific to the activated software version are set to factory defaults and may require manual configuration Refer to the latest version of the CARESCAPE Monitor B650 Supplemental Information Manual Defaults Reference section and CARESCAPE Monitor B650 Technical Manual for more information NOTE After activating the software perform a checkout according to the procedure described in chapter 7 Maintenance and checkout 1 Ifyou have not already logged onto Webmin log onto the Webmin service interface 2 Select Configuration Software Management The Software Management window displays Select the type of software to activate Button Name Software ponam tpe E Host Eg ode 1 re Monitor Montorsonware l re PDM Software PDM software Verify that the software to be activated is listed in the Inactive software state Select Activate to activate the inactive software Check that the patient monitor or PDM module starts up normally after the automatic restart initiated by the software activation and no error messages appear on the screen 76 Document no M1165897A Installation checkout 5 Installation checkout The purpose of the installation checkout procedure is to ensure that the system is properly installed and configured for use Service personnel shall perform the following checkout procedure for the monitoring system after the hardware installation and service configuration is completed e 5
209. the standard advanced interface board using a step down converter e To 12Vsupply voltage for the optional recorder and the backlight inverter board using a buck boost converter e To 15VMod supply voltage for the PSM module and the E Module interface board using a buck boost converter This converter is omitted in the non battery models where the 15VMod power line is connected directly to the VSYS voltage It passes the 8 7 16 V in AC DC use 14 9 16 V VSYS supply voltage for the E Module interface board the 10 pin ePort connector in the PDM docking station and for the DB9 ePort connector in the advanced interface board The power supply is capable to supply VSYS voltage only to one ePort connector at a time e All supply voltages have over voltage and short circuit protection The DC DC board takes care of the battery charging and controlling of the power path switches The power path switches select either AC DC output voltage or battery voltage as the DC DC board input source The DC DC board PMC CPU Power Management Controller controls power supplies sequencing It measures board temperature and voltages by an internal A D converter System and module currents also are measured and the corresponding power consumptions calculated PMC communicates with the CPU board via serial communication and with the battery and battery charger IC via SMBus I2C bus Inter Integrated Circuit is used for communication with the A D conv
210. the information of the ambient light sensor and passes it to the CPU board It adjusts the brightness of the alarm light and keypad backlight according to the information received from the CPU board It provides a back up speaker function using a buzzer in case of a main speaker failure It provides a visual and audible power failure alarm control in case of sudden system power loss Document no M1165897A Theory of operation It passes the drive signals coming from DC DC board via CPU board to the power indicator LEDs in the keypad It passes the drive signals power according to the information received from the DC DC board via the CPU board indicator LEDs in the keypad The user interface cable connects the user interface board to the CPU board e The data communication method used is USB communication It passes the 3 3 V and 5 V supply voltages and power indicator LEDs status to the user interface board from the DC DC board e The on standby button press is passed to the DC DC board via the CPU board
211. tient care equipment This equipment must not be located in the patient environment unless the medical system standard EN 60601 1 1 is followed Do not connect a laser printer to a multiple socket outlet supplying patient care equipment The use of multiple socket outlet for a system will result in an enclosure leakage current equal to the sum of all the individual earth leakage currents of the system if there is an interruption of the multiple socket outlet protective earth conductor 42 Document no M1165897A Configuration 4 Configuration The configuration of the CARESCAPE Monitor B650 consists of platform configuration and clinical configuration This chapter describes how to perform the platform configuration tasks needed to take the patient monitor into use for the first time and the configuration related administration and maintenance tasks thereafter For information on how to perform the clinical configuration including care unit settings and user profiles refer to the CARESCAPE Monitor B650 User s Manual 4 1 Display adjustment and touchscreen calibration 4 1 1 Integrated primary display Display adjustments Adjust the display brightness if needed from the Monitor Setup gt Brightness menu Refer to the CARESCAPE Monitor B650 User s Manual for more information Touchscreen calibration NOTE The touchscreen function of the integrated primary screen has been calibrated in the factory Re calibration is ty
212. tient monitor unit and bed name Identical IP address A patient monitor with the Disconnect the patient monitor that noticed identical IP address is on the has the identical IP address network or Change the IP address of the patient monitor that has the duplicate IP address Document no M1165897A Troubleshooting Message Possible causes Possible solutions Service Monitor This error message refers that Temperature is too high Error Code the internal temperature of Turn off the patient monitor and let OxHOST1001 the patient monitor is out of the monitor to cool down specification Temperature is measured from 4 locations This error message persists on mE the screen as long as the error Ensure that the patient monitor is condition is valid installed to a location that meets NOTE See section 8 3 1 the specified environmental Hardware statistics to Eure ment Oh ern identify the temperature that OODE is below or above the Temperature is too low or high Check that the ventilation holes of the monitor are not obstructed specification limit lf the monitor has been transported or stored outside operating temperature range allow it to stabilize back to operating temperature range before applying power Service Monitor This error message refers that Log onto Webmin and select Error Code one of the internal supply Diagnostics Hardware Stats to OxHOST1002 voltages is out of identify the s
213. to have available to configure the patient monitor to the IX Network Refer to the sections 4 3 5 Printers for IX printer configuration 4 3 6 MUSE 12SL for MUSE 12 SL configuration and 4 3 14 Remote service for Insite with Exc configuration 3 1 3 Mounting hardware Ensure that the following mounting hardware if applicable is properly installed prior to the installation of the patient monitor Mounting hardware for the CARESCAPE Monitor B650 either for a stand alone installation or for an installation to an anesthesia machine or to a ventilator Mounting hardware for the PSM module Mounting hardware for the PDM module Mounting hardware for the secondary display Mounting hardware for the Unity Network ID connectivity device NOTE Refer to the CARESCAPE Monitors Mounting Catalog to identify the compatible mounting hardware for each system component above WARNING Use only manufacturer approved mounts 28 Document no M1165897A Hardware installation 3 1 4 Unity Network ID connectivity device installation The Unity Network ID connectivity device shall be properly installed configured and tested according to the Unity Network ID Connectivity Device Service Manual prior to connecting it to the patient monitor Make sure that the Unity Network ID connectivity device is configured as follows IP address is 192 168 253 x where x is a number between 2 and 254 Netmask is 255 255 255 0 e The location
214. tor B650 For your notes 114 Document no M1165897A Troubleshooting 8 Troubleshooting The problems and solutions in this section represent only a few of the faults that you may encounter and are not intended to cover every possible problem that may occur This chapter focuses on troubleshooting technical problems Refer to the CARESCAPE Monitors Clinical Reference Manual for troubleshooting monitoring problems and clinical configuration Issues If the problem remains call technical support for service To ensure accurate problem solving please be prepared to provide the following information Problem description and the troubleshooting done so far e Configuration information section 8 2 1 e Device information section 8 2 2 e Service Logs section 8 3 4 Error messages displayed if any Other information as requested 8 1 Visual inspection Before beginning any detailed troubleshooting complete a thorough visual inspection to be sure that e There is no physical damage e All peripheral devices are connected properly e The patient monitor and the connected peripheral devices are properly powered Also verify that the problem is not caused because of 1 Incompatibility issue Refer to the CARESCAPE Monitor B650 Supplemental Information Manual document to see the list of compatible devices 2 Incorrect platform or clinical configuration Refer to the chapter 4 Configuratio
215. tor starts but the primary display remains black i e the backlight does not illuminate the LCD display The cable between the backlight inverter board and the DC DC board is loose or defective The backlight inverter board is defective The cable s between the The 12V voltage created by the DC DC board is The DC DC board does not used only for LCD display backlight and for the optional recorder Check one of the following Check the status of the yellow 12 V LED in the DC DC board see section 8 4 1 Print something to the optional built in recorder Connect a service PC to the patient monitor and login to Webmin to check the status of the 12V voltage mV see section 8 3 1 If the 12 V is present and within specs the DC DC board is not likely to cause the problem Check that the inverter board cable is intact and properly connected to the DC DC board and the backlight inverter board see section 9 3 8 Reconnect the inverter board cable if loose Replace the inverter cable if defective Replace the backlight inverter board see section 9 4 5 Check that the backlight cables are intact and display backlights and the properly connected to the backlight inverter board backlight inverter board is are loose or defective or The display backlights The monitor starts but the primary display remains white i e the backlight illuminates the LCD display
216. ttery prior to turning the monitor off the monitor will start alarming about power loss situation Silence this alarm by pressing the Silence alarm button When re installing the battery make sure that the charge level indicator LEDs are facing upwards and push the battery in all the way Close the battery cover lock by turning it 90 counter clockwise Disassembly workflow Use this workflow diagram to find the simplest way to disassemble the required parts of the monitor Numbers in the diagram refer to the sections in this Disassembly chapter Follow the arrows from the top down to the required part and disassemble the monitor by following the steps in between 9 2 1 9 3 2 9 23 Side z 9 4 6 Module frame Interface frame housing Top cover Keypad front cover board decorations aa 935 gdo Recorder PDM docking Disassemble the main unit into WLAN unit mechanism front main unit and rear unit 9 2 4 Module frame cover unit 9 2 5 E module i Trim Knob interface board i encoder 9 2 0 9 39 4 J4 Module frame CPU board Backlight Front Unit Assembly FRU assembly inverter unit Rear unit assembly 2al Base unit y_steps vsd Flex_dissembl 147 Document no M1165897A CARESCAPE Monitor B650 9 2 Module frame disassembly 9 2 1 Detaching the module frame front cover ew y A Monitors with the E module option 1 Press down the Module Frame release knob and turn the Module Frame to a 90 angle so that the Module
217. ture error due Replace battery with a new one If that to defective battery or battery does not help replace the DC DC management error Speaker failure Speaker cable loose Connect the speaker cable NOTE Speaker Speaker failure Replace the speaker failure is tested only CPU tone generator or audio Replace the CPU board during start up amplifier failure 130 Document no M1165897A Troubleshooting 8 6 Problems and solutions 8 6 1 Start up failures Problem Possible causes Recommended actions Failure to turn on the patient Power cord is loose Ensure that the power cord is connected properly monitor when the following to the wall outlet and to the patient monitor conditions apply Blown fuses Check the status of the fuses and replace them if The monitor is connected necessary see section 9 3 1 UE Use only fuses with correct rating see chapter The AC mains indicator is AQ not lit See section 3 2 1 If the fuses are blown repeatedly investigate None of the power the patient monitor carefully for possible short management LEDs are lit Circuits see section 8 2 1 Power cord is defective Check the power cord for wear and damage see section 5 2 3 and replace if necessary The power outlet does not Check the power outlet being used meet specified Refer to the CARESCAPE Monitor B650 requirements Supplemental Information Manual for power r
218. u did not print a test page while you configured the IX printer MAP des Aq qo Login to Webmin see section 4 2 5 Login to Webmin and select the Configuration tab On the Configuration tab select Configuration Printers Print Test Page Select the IX Printer to test Select Save Verify that the test page was printed to the selected printer Repeat steps 3 to 5 for all connected IX printers 5 5 12 Insite with EXC Perform the following test only if the remote service is configured and enabled Contact your local online support center to find out if they can view the patient monitor 5 3 13 Test completion Discharge Patient or Reset Case to discard any changes made to the monitor configuration during checkout Complete the Appendix B Installation checkform 91 Document no M1165897A CARESCAPE Monitor B650 For your notes 92 Document no M1165897A Theory of operation L 0 NO 9joules L 0 Hoge ead v L l1 38SV800L 0L L L FAO v 4 asn O pesueApy O I PJepuejs Ol opooep 10 S S 1 JJOYO Jayeoq INDIO JaMOd j10g8 QN OZI AHd 1euj89uj3 U9IIMS 1euJ9u13 uonoejoJd GSA Y Jeyl3 IHAG YOUMS JeMog GSN AHd Puy uonoejoJd GSA Jill IHAG U9IIMS JeMog GSN peog e2ejio3u p1epuejs MO U 19x1e N indino oeuy dd pyeog ou S i yndjno Bojeuy 993 Sync Board Cable 6 Theory of operation pieog e2ejioju paouerpy J0j99UUO7 WSd Uld G Jojoeuuo2 yoga uld pL Jojoeuuoo ES S
219. ument no M1165897A NOTE Be careful not to damage the decoration while disassembling To detach the Right Frame Housing Decoration Release the snaps at the bottom part of the decoration with a flat blade screwdriver Lift the decoration a little more to release the rest of the snaps and detach the decoration To detach the Left Frame Housing Decoration Release the snap at the bottom part of the decoration by pressing it down with a flat blade screwdriver Lift the decoration a little more to unlock the rest of the snaps and detach the decoration Reassemble in reverse order Press down the Module Frame release knob and turn the Module Frame to a 90 angle so that the Module Frame slot faces to the front Remove the T10 screw located behind the Module Frame Torque 0 8 Nm Detach the Top Cover by releasing the four snaps with a flat blade screwdriver Reassemble in reverse order Grease the rubber gasket of Top Cover to reassemble it smoothly Disassembly and reassembly 9 3 5 Disassembling the main unit into Rear and Front units je mmm PA 4 44 _ 7 p LA E 3 p T Bs HM T B d Disassemble first 9 5 2 the Interface Board 9 5 5 the Housing Decorations 9 5 4 the Top Cover Set the monitor lying on its back and remove the two screws from the bottom Torqu
220. upply voltage that is below specification This error or above the specification limit message persists on the Refer to Technical Manual sections screen as long as the error 8 3 1 Hardware statistics and 6 condition is valid Theory of operation for troubleshooting guidance Service Monitor Disk usage exceeds 90 96 1 Back up the clinical and platform Error Code settings and print the licensing OxHOST1004 information page via Webmin 2 Re install software Service Monitor User interface board Replace user interface board Error Code communication failure OxHOST1102 Service Monitor The CPU battery needs to be Replace the CPU battery Error Code replaced OxHOST1100 Service Monitor An error occurred in the Repeat the steps to activate the Activation Failed process of activating the software or license If that does not software or license help re install the software or reload licenses Replace monitor The full capacity of the battery Replace the monitor battery with a new battery is less than or equal to 50 one compared to the full capacity of a new battery Battery failure Battery failure Replace battery with a new one 129 Document no M1165897A CARESCAPE Monitor B650 Message Possible causes Possible solutions Condition monitor Battery needs conditioning Condition the monitor battery by fully battery discharging and recharging it twice Battery temperature Battery tempera
221. vance Figure 6 Advanced Interface Board block diagram 101 Document no M1165897A CARESCAPE Monitor B650 Synchronization connector The synchronization connector provides analog ECG and invasive pressure outputs and a digital marker out signal for external user supplied equipment e g a defibrillator or an intra aortic balloon pump This connector does not operate with the PDM module Refer to the CARESCAPE Monitor B650 Supplemental Information Manual for details about the pin layout and electrical specifications WLAN The optional IEEE 802 11a b g WLAN client radio enables wireless network communication in the 2 4 and 5 1 GHz frequency bands The Compact Flash CF WLAN client radio connects to the CF socket in the CPU board The two internal dual band antennas are attached to the front unit assembly WLAN connection is activated when the monitor is not connected to a wired network through the MC port 6 1 6 Pivoting module frame Hinge flex board The hinge flex board interfaces the E module interface board and the module frame flex board to the CPU board Module frame flex board The module frame flex board interfaces the recorder assembly PDM interface and PSM interface to the hinge flex board The module frame flex board provides the following main functions It routes the 12 V supply voltage recorder control signals and the serial communication lines to the recorder assembly e It routes the RS 485 com
222. vel Electromagnetic environment guidance level Portable and mobile RF communications equipment should be used no closer to any part of the CARESCAPE Monitor B650 including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 5 Vrms 5 Vrms d 1 2 VP IEC 61000 4 6 150 kHz to 80 MHz m 1 Vrms d 3 5 VP 150 kHz to 80 MHz 5 Vrms 0 8 Vrms _ 150 kHz to 80 MHz d 4 4 vP Radiated RF 3 V m 3 V m d 12 VP 80MHz to 800 MHz 3 V m 1 V m amp d 35 VP 80MHz to 800 MHz inate ne dp OP 800 MHz to 2 5 GHz 3 V m 0 8 V m d 44 VP 80MHz to 800 MHz 80 MHz to 2 5 GHz d 8 8 VP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol e 1 Impedance respiration measurement is inherently very sensitive as it measures very small physiologic signals 2 EEG measurement is inherently very sensitive as it measures very small physiologic signal 3 BIS measurement based on measuring the EEG signal is inherently very sensitive A 3 4 Document no M11
223. versal B650 panel with labelling 3 keys 30 M1197060 FRU Keypad Touchscreen model JA Includes the membrane keypad and the keypad B650 panel with labelling JA 3 keys 51 M1178175 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model EN B650 language specific keypad panel 14 keys 32 M1178177 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model PT B650 language specific keypad panel 14 keys 55 M1178178 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model ES B650 language specific keypad panel 14 keys 34 M1178179 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model SV B650 language specific keypad panel 14 keys 35 M1178181 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model NL B650 language specific keypad panel 14 keys 17 tO Document no M1165897A CARESCAPE Monitor B650 FRU Item Part FRU Item Description Additional text Number 36 M1178182 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model DA B650 language specific keypad panel 14 keys 37 M1178183 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model Fl B650 language specific keypad panel 14 keys 38 M1178185 FRU Keypad for Non Touchscreen Includes the membrane keypad and the model FR B650 language specific keypad panel 14 keys 39 M1178186 FRU Keypad for Non Touchs
224. vice PC s IP address and subnet mask to the same network segment with the monitor s IX Network setting 45 Document no M1165897A CARESCAPE Monitor B650 NOTE For more information on how to configure the IP address refer to the PC s documentation 5 Launch a web browser on the service PC 6 Inthe Address field type https IX IP address 10000 and press Enter NOTE IX IP address is the IX Network IP address of the patient monitor The Login to Webmin dialog box displays 4 Webmin on FM2CPU 7570021 Microsoft Internet Explorer De K File Edit view Favorites Tools Help dr Q Back 7 x i2 f Bs Search SE Favorites 3 E T E Pel Address E https 113 187 27 10 10000 E ama ae Login to Webmin You must enter a username and password to login to the Webmin server on 3 187 27 10 Username Password Host Serial Number SEVVOS050258HP Host Software Version 1 1 0 12_1 IX IP Address 3 187 27 1 IX Metmask Mask255 255 255 0 7 Continue to 4 2 5 Login to Webmin After completing using Webmin 1 Restore the monitor s original IX Network configuration and service PC s network settings if they were changed 2 Disconnect the crossover cable from the monitor and from the service PC 3 Reconnect the monitor back to the IX Network if applicable 4 2 5 Local access to Webmin with a service PC connected to the MC connector You can access Webmin locally by connecting an Ethernet crossov
225. y qualified biomedical personnel that there is no danger to the patient the operator or the environment as a result Do not under any circumstances remove the grounding conductor from the power plug Always check that power cord and plug are intact and undamaged POWER SUPPLY The device must be connected to a properly installed power outlet with protective earth contacts only If the installation does not provide for a protective earth conductor disconnect the monitor from the power line All devices of a system must be connected to the same power supply circuit Devices which are not connected to the same circuit must be electrically isolated when operated 1 Connect power cords to the mains power supply inlet and to a wall outlet on all system components that require AC mains power input including the patient monitor the optional secondary display the optional Unity Network ID connectivity device and the optional local laser printer 2 Donot power on any devices NOTE Be sure that all power cords are securely connected and that they are routed through the retaining clips or cable clamps as applicable NOTE Refer to section 4 5 8 for power frequency configuration 3 3 5 Installing parameter modules 38 Refer to the CARESCAPE Monitor B650 Supplemental Information Manual to verify compatible parameter modules and to identify the parameter modules with identical functions Installing a PSM or a PDM module You ca
226. y the manual identifies additional sources of relevant information and technical assistance See the user s manual for the instructions necessary to operate the equipment safely in accordance with its function and intended use Document no M1165897A CARESCAPE Monitor B650 1 1 4 Intended audience This manual is intended for service representatives and technical personnel who install maintain troubleshoot or repair this equipment 1 1 5 Ordering manuals A paper copy of this manual will be provided upon request Contact your local GE representative and request the part number on the first page of the manual 1 1 6 Related documents CARESCAPE Monitor B650 Supplemental Information Manual CARESCAPE Monitor B650 Software Installation Instructions CARESCAPE Modular Monitors Supplies and Accessories CARESCAPE Monitor B650 User s Manual CARESCAPE Monitor B650 Clinical Reference Manual CARESCAPE Network Configuration Guide CARESCAPE Wireless Network Configuration Guide Module Frames and Modules Technical Manual CARESCAPE Monitors Mounting Catalog Unity Network Interface Device ID Operator s Manual iCentral and iCentral Client Technical Reference Manual S 5 Network Installation Guide Displays User s Manual delivered with the D15K and D19T displays NOTE The referred documents above are subject to change without notice Please contact your local sales or service representative for possible updates 1 1 7 Conventions used i

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